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Form 4595 - Application for Limited Driving Privilege

r To and from a certified ignition interlock device (IID) service facility r Seeking medical treatment Being unable to operate a motor vehicle will result in a hardship to the applicant because traveling is required: r To and from child care (Must provide child care provider(s) name and address.)_____

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  Devices, Ignition, Interlock, Ignition interlock device

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