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Professional License Disclosure Letter Explaining DUI (Board Notification) Template
Professionally disclose a DUI to your licensing board with clear facts, responsibility, and a focus on remediation and safe, ethical conduct.
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Professional License Disclosure Letter Explaining DUI (Board Notification) Template
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Professional License Disclosure Letter Explaining DUI (Board Notification) Template
[Your Full Name]
[Professional Title, if applicable]
[License or Application Number, if applicable]
[Your Street Address]
[City, State/Province, ZIP/Postal Code]
[Phone Number]
[Email Address]
[Date]
[Name of Licensing Board or Regulatory Authority]
Attn: [Board Administrator / Compliance Department / Licensing Division]
[Board Street Address]
[City, State/Province, ZIP/Postal Code]
1. Subject and Identification
Re: DUI Disclosure and Explanation – [Your Full Name], License/Application No. [Number]
2. Purpose of Letter
To the Members of the [Name of Board],
I am writing to disclose and explain a driving under the influence (DUI) [arrest/conviction] that occurred on [Date of DUI Incident] in [City, State/Province]. I understand my responsibility to inform the Board of matters that may be relevant to my professional license and fitness to practice.
3. Brief Description of the DUI Incident
On [Date of DUI Incident], I was [arrested/charged] with DUI in [City, State/Province]. At that time, I drove after consuming alcohol/[alcohol and other substances], which was a serious lapse in judgment and contrary to the standards of responsibility expected of licensed professionals.
The case resulted in [Outcome, such as “a DUI conviction on [Date],” “a plea to [offense],” “completion of a diversion program,” “probation until [Date],” or other final status].
4. Acceptance of Responsibility and Insight
I accept full responsibility for my conduct and do not attribute this incident to anyone else. I recognize that driving under the influence is dangerous, unlawful, and inconsistent with the level of judgment and integrity expected in my profession.
This event has had a significant impact on me personally and professionally. It has led me to reflect on my decision-making, stress management, and the example I set for patients/clients, colleagues, and the public.
5. Legal and Administrative Consequences
As a result of this incident, the following legal and administrative consequences were imposed:
Court disposition: [Description of conviction, plea, diversion, or dismissal].
Sentence and conditions: [Fines, probation, community service, jail or alternative sentencing, if applicable].
Driver’s license status: [Suspended / Restricted / Reinstated / Ignition interlock requirement, with dates].
Other conditions: [Victim impact panel, monitoring, random testing, or other requirements].
I am [currently in full compliance with / actively complying with] all court, probation, and DMV conditions, and I understand that continued compliance is essential.
6. Remediation, Treatment, and Education
Since the DUI incident, I have taken the following steps to address the underlying issues and reduce the risk of any recurrence:
Completion or enrollment in [DUI education program / alcohol or substance use treatment / counseling] on [Date or expected completion date].
Participation in [support groups, professional assistance programs, peer support, or wellness programs], as applicable.
Ongoing work with [therapist, counselor, physician, or other professional] to address [stress, substance use, mental health, or related concerns].
These measures have provided me with tools to manage risk factors, improve decision-making, and maintain healthy coping strategies.
7. Changes in Conduct and Risk Management
In addition to formal programs, I have implemented personal and professional changes, including:
Strict personal rules never to drive after consuming alcohol or any impairing substance.
Use of alternative transportation (taxis, rideshare, designated drivers, public transit) whenever alcohol may be present.
Increased attention to self-care and stress management so that fatigue, stress, or emotional issues do not lead to poor decisions.
Continued adherence to professional ethics, workplace policies, and any internal reporting or monitoring requirements.
These changes are intended to protect the public and ensure that my personal conduct aligns with my professional responsibilities.
8. Professional Role, Performance, and Impact on Practice
I currently work as [Your Professional Role] at [Employer/Practice Name] in [City, State/Province]. My duties include [brief description of main responsibilities].
Since the DUI incident, I have continued to:
Maintain safe and appropriate boundaries with patients/clients and colleagues.
Meet or exceed performance expectations in my role.
Follow all applicable laws, regulations, and practice standards.
To date, there have been no complaints, adverse incidents, or performance issues in my professional practice related to this DUI.
9. Assurance to the Board and Request for Consideration
I understand that the Board’s primary responsibility is to protect the public and maintain trust in the profession. I respect that responsibility and recognize that my conduct outside of work can affect that trust.
I respectfully ask the Board to consider the context of this incident, the steps I have taken toward remediation, and my ongoing commitment to safe, ethical, and compliant practice. I remain willing to comply with any monitoring, reporting, or additional conditions the Board may deem appropriate.
10. Closing and Availability for Further Information
Thank you for taking the time to review this disclosure and explanation. I appreciate the opportunity to address the Board directly and to demonstrate my commitment to maintaining the high standards required of licensees.
If the Board needs additional documentation, court records, or verification of program participation, I will provide them promptly upon request. I am also willing to appear for an interview or hearing, if required.
Respectfully submitted,
[Your Signature, if printed]
[Your Full Name]
[Professional Title]
[License or Application Number]
[Date]
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Learn more about
Professional License Disclosure Letter Explaining DUI (Board Notification) Template
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For quick answers, scroll below to see the FAQ.
Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.
PROFESSIONAL LICENSE DISCLOSURE LETTER EXPLAINING DUI (BOARD NOTIFICATION) TEMPLATE FAQ
What is a professional license disclosure letter explaining a DUI?
A professional license disclosure letter explaining a DUI is a formal written statement to a licensing board or regulatory authority where you disclose a DUI arrest or conviction, provide relevant facts, accept responsibility, and explain the steps you have taken since the incident. Boards may require this type of letter when you apply for a license, renew a license, or when a new DUI occurs while you are already licensed.
When do I need to notify my licensing board about a DUI?
You may need to notify your licensing board about a DUI when application or renewal forms ask about criminal or driving convictions, when your license conditions require reporting any new legal matters, or when the board’s rules mandate self-reporting of certain offenses within a specific time frame. Always review your board’s statutes, regulations, and forms, and follow any advice from your attorney about when and how to disclose.
What should I include in a DUI disclosure letter to a licensing board?
In a DUI disclosure letter to a licensing board, you should typically include: your full name and license or application number; the date, location, and level of the DUI offense; the case status or outcome; a clear acceptance of responsibility; a brief description of what led to the incident (without minimizing it); your remediation steps (education, treatment, counseling, monitoring); and any changes you have made to ensure safe driving and professional conduct going forward. You should also confirm that you understand your ethical and legal obligations as a licensee.
How detailed should I be when explaining a DUI to a professional board?
Your explanation should be accurate, consistent with court and DMV records, and detailed enough to show insight and accountability, but focused and professional. Many boards expect a concise summary of the incident, not a minute-by-minute narrative. Emphasize what you have learned, how you have addressed any substance-use or judgment issues, and how you will protect the public and uphold professional standards in the future.
Will a DUI automatically prevent me from getting or keeping a professional license?
Whether a DUI affects a professional license depends on the board’s laws, your overall record, the timing and severity of the offense, any pattern of conduct, and your remediation efforts. Some boards are particularly concerned with substance-related or honesty issues, while others focus on risk to the public and ongoing compliance. A thoughtful, honest disclosure letter that demonstrates insight, remediation, and a strong commitment to professional standards can be an important part of how the board evaluates your case.
Can AI Lawyer help me write my professional license DUI disclosure letter?
Yes. AI Lawyer can help you structure and refine your professional license DUI disclosure letter by suggesting clear wording, organizing the relevant facts, and keeping a respectful, professional tone. You provide the real dates, case details, and remediation steps, and AI Lawyer helps format them into a coherent letter. For advice about your specific board’s rules, reporting duties, or legal strategy, you should consult a licensed attorney in your jurisdiction.
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