Request for Services Application

Please see below to download Application for Services.  This application should be used by individuals who are requesting enrollment on a conviction of Driving Under the Influence where the Virginia Department of Motor Vehicles is requesting completion of VASAP.   It may be that the individual was not referred by the court or it could be that the individual was referred to ASAP previously, but was unsuccessful.  If one of these scenarios describes your situation, fill out the form and return it to the ASAP office.  An ASAP staff member will then contact you about your requirements for enrollment.



REQUEST FOR SERVICES APPLICATION(1).pdf