Phase 3 Application
The following form will allow you to submit a Phase up Application for review by each required member of the DUI Treatment Court team.

Once submitted, your form will be reviewed by Treatment, Probation, and the Program's Admin Staff for approval.

If there are any issues with your application, we will reach out to you for clarification.

Once your application has been reviewed and approved, you will learn more about the outcome at your next status or you can reach out to the office.
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Please list you full legal name, current address, phone number, and email address below. *
What date did you enter Phase 2? *
You are required to complete 90 days in Phase 2.
When was the date of your last program violation? *
You must have a minimum of 30 days without violation to move to Phase 3. If you have not had a program violation please write "None" in the space below.
In your opinion, are you engaged in treatment and have you been attending individual sessions at least 2x a month? *
If you need to set up individual counseling sessions, please call Family Counseling at 706-549-7755. We encourage you to set up several into the future because their schedules fill up quickly. If you need assistance with this, please call the DUI Court Office at 706-613-3206.
Have you completed and submitted your phase-up project to your counselor? If so, please also share the date this occurred.
 *
Have you established a payment plan with Case Management? If so, how much do you pay and how often? *
Have you made a payment in the last 30 days? If so, what was the date and amount? *
Have you followed all instructions given to you by your Probation Officer, Counselor, Case Manager, and the Program Coordinator? *
If you have any questions you would like to send with your submission, please type them below. *
If your application is approved, would you like Admin Staff to contact you by phone in addition to the automated email you will receive? *
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