Send my assessment results to someone else
Georgia DDS requires your written authorization before we can release your Needs Assessment results. Fill in the form below, sign it, and pay the $15 processing fee. We'll review, countersign, and send it where you asked.
1. Fill it in
Your details, a photo ID, and exactly who should receive the results.
2. Sign and pay
Type your name to sign. The processing fee is $15, paid securely by card.
3. We send it
A program official reviews and countersigns, then the results go out.
Release My Assessment Results
Authorize Dallas Hiram DUI School to send your DDS Needs Assessment results to a clinical evaluator, another Risk Reduction Program, or a court official. Takes a few minutes. A $15 processing fee applies.
Authorize us to send your DDS Needs Assessment results. $15 processing fee.
Your Information
Step 1 of 5
Enter your name exactly as it appears on your photo ID. We use this to find your assessment on file.
DDS requires this to match your record. We keep only the last 4 digits, and they never appear in any email we send you.
We send your receipt and confirmation here.
Photo ID
Step 2 of 5
Upload a clear photo of your driver's license or government-issued ID. We have to verify who is authorizing the release before we can send anything.
Drag & drop your ID here
or click to browse · JPG, PNG, PDF up to 10MB
Click to replace
Your ID is stored privately and is only visible to Dallas Hiram DUI School staff. It is never attached to an email and never sent to the recipient.
Send Results To
Step 3 of 5
Tell us exactly who should receive your results and where to send them. We only send to the address you give us here.
Where should we send it? *
Give us both if you can. If the first one bounces we already have the second and don't have to come back to you.
Certificate of completion (optional)
If you already finished the course and have your certificate handy, add it. We verify and correct this before sending.
Authorization
Step 4 of 5
Sign to authorize the release. This is your permission under DDS form RC-RRP-503.
Releasing Program
A program official at Dallas Hiram DUI School reviews your request and countersigns it after you submit — you don't sign for the school, and nothing is released until that review is done.
Typing your name here has the same effect as signing the paper form.
Signature date
Review & Pay
Step 5 of 5
Check every line. Once you pay, this goes to staff for review exactly as written.
Student
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Photo ID
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Sending results to
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Signed by
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Releasing program
Dallas Hiram DUI School · Cert. 1010292
Countersigned by a program official at review.
Results Transfer Request
DDS form RC-RRP-503 processing fee
$15
Request Received
Your $15 payment went through. A confirmation has been sent to
Your $15 bank payment is processing. Bank payments take a few business days to clear. Once it does, we'll email a confirmation to
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Your Request Number
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Sending to
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A program official reviews and countersigns your authorization before your results are released. We'll be in touch if anything is missing.
Return HomeBefore you start
Know where it's going
We send your results only to the email address or fax number you enter on this form. We don't look one up for you and we don't guess. If you're not sure, ask the evaluator, program, or officer for it first.
Have your photo ID ready
A driver's license or any government-issued photo ID, as a picture or a PDF. It's stored privately for staff verification and is never sent to the recipient.
The school signs after you do
You sign the student half. A program official at Dallas Hiram DUI School (DDS certification 1010292) reviews your request and countersigns it before anything is released.
Questions?
Email [email protected] or use our contact page.