Who uses the Phase IV to Graduation Movement Request?

A DUI Court participant requesting movement from Phase IV to Graduation uses this form. The participant is responsible for obtaining the required Team Member signatures.

How do I submit the Phase IV to Graduation Movement Request?

Turn in the original completed form to the DUI Court office by 5:00 p.m. the day before DUI Court. A form turned in later will be considered at the next court date.

What does the form ask the participant to certify?

The participant certifies completing the minimum time for the phase, approximately three months. Probation and DUI Court staff complete separate sections about eligibility requirements.

Lowndes County, GA · Lowndes County

No notary required

Phase IV to Graduation Movement Request

DUI Court participants use this request to ask to move from Phase IV to Graduation at the next court session.

At a glance

Issued by: City of Lowndes County · Lowndes County, Lowndes County, Georgia
Notarization: Not required: file this form without a notary.
Official source: lowndescounty.com
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This form lets a DUI Court participant request movement from Phase IV to Graduation at the next court session. The participant certifies completion of the minimum time for the phase, and probation and DUI Court staff complete separate sections verifying eligibility requirements. The completed original must reach the DUI Court office by 5:00 p.m. the day before DUI Court; later submissions are considered at the next court date.

Who needs it

A DUI Court participant requesting movement from Phase IV to Graduation should complete this form and obtain the required Team Member signatures.

How to submit it

Turn in the original completed form to the DUI Court office no later than 5:00 p.m. the day before DUI Court; later forms are considered at the next court date.

About notarization

This document is signed without a notary; the participant and required Team Members sign it, and the participant dates the request.

How to submit this form

1
Download the Form
Download the Phase IV to Graduation Movement Request PDF.
2
Complete the Request
Fill in the participant's name and submission date, and certify completion of the minimum time for the phase.
3
Get Required Signatures
Obtain the required Team Member signatures. The probation officer and DUI Court office complete their respective sections.
4
Submit the Original
Turn in the original completed form to the DUI Court office by 5:00 p.m. the day before DUI Court.

Frequently asked questions

Who uses the Phase IV to Graduation Movement Request?: A DUI Court participant requesting movement from Phase IV to Graduation uses this form. The participant is responsible for obtaining the required Team Member signatures.
How do I submit the Phase IV to Graduation Movement Request?: Turn in the original completed form to the DUI Court office by 5:00 p.m. the day before DUI Court. A form turned in later will be considered at the next court date.
Do I need a notary for the Phase IV to Graduation Movement Request?: No. This document is signed without a notary; the participant and required Team Members sign it, and the participant dates the request.
What does the form ask the participant to certify?: The participant certifies completing the minimum time for the phase, approximately three months. Probation and DUI Court staff complete separate sections about eligibility requirements.

Need something notarized?

This Phase IV to Graduation Movement Request doesn’t need a notary, but if you have another Lowndes County form that does, a commissioned online notary can help.