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The form specifies conditions such as completion of the Driving Without Impairment course, related assessments, ignition interlock completion, and payment of the $175 application fee with a receipt copy. Applicants must submit by mail, email, or fax, attend a hearing, address hardship and public interest considerations, and complete personal, contact, employment, and medical sections. In decisions, successful applicants must purchase a license with special restrictions, while denials keep the license suspended.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/highway-traffic-board-special-restricted-application-form-complete-and-return/305895/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/highway-traffic-board-special-restricted-application-form-complete-and-return/305895.png","ImageObject",442,249,{"name":88,"@type":89},"Fans","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-08","2026-09-19",true,{"@type":98,"interactionType":99,"userInteractionCount":79},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What eligibility requirements must be met to apply for a Special Restricted License?","Question",{"text":108,"@type":109},"Applicants must have served the required prohibition period set by the court, completed the Driving Without Impairment (DWI) and related addictions screening/program requirements, and completed the Mandatory Ignition Interlock term (when applicable). They must also pay the $175 restricted license application fee and include a copy of the receipt.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How do applicants submit the application to the Highway Traffic Board (HTB)?",{"text":113,"@type":109},"Applicants must complete the Special Restricted Driver’s License Application Form and send it along with a copy of the $175 fee receipt to the HTB by mail, email, or fax. The document also provides an HTB toll-free number for questions.",{"name":115,"@type":106,"acceptedAnswer":116},"What happens after the HTB hearing and decision?",{"text":117,"@type":109},"After the appeal is heard, HTB members may grant or deny the restricted license. Applicants receive results by email or mail. If granted, they must visit an SGI motor license issuer to purchase the driver’s license or an updated license printout with special restrictions; if denied, the license remains suspended until eligible for a full driver’s license.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},305895,1790170264,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":47,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":76},5909892330395,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Highway Traﬃc Board Special Restricted Application Form  \n(FORM MUST BE FILLED IN COMPLETELY OR IT WILL BE RETURNED) You may apply for a Restricted License if the following requirements have been met:  \n1. You have served the length of prohibition as required by the Court Order. This is the prohibition period that a judge has set for you. This prohibition is set under the Criminal Code of Canada and is separate and distinct from any statutory suspension under Saskatchewan’s provincial legislation.  \n2. You have completed the Driving Without Impairment (DWI) course, and educational program, or you have completed mandatory in-take Addictions Screening and a program as prescribed by an alcohol and drug services counselor and are considered low risk for continued impaired driving.  \n3. You have completed your Mandatory Ignition Interlock term and still must serve the provincial suspension (This ONLY applies to alcohol/drug related convictions) .  \n4. You have paid the $175 Restricted License Application Fee (at any motor license issuer) and have included a copy of that receipt with this application form.  \nApplication Requirements:  \n1. Complete the Special Restricted Driver’s License Application Form.  \n2. Send your application and a copy of your Restricted License Application Fee receipt to the Highway Traffic Board by:  \na. MAIL Highway Traffic Board 1621A McDonald Street REGINA SK S4N 5R2  \n[b. EMAIL](b. EMAIL contactus.htb@gov.sk.ca)[ ](b. EMAIL contactus.htb@gov.sk.ca)[contactus.htb@gov.sk.ca](b. EMAIL contactus.htb@gov.sk.ca)  \nc. FAX 306-798-0162  \n3. If you have any questions, please call the HTB toll free at 1-855-775-8336.  \nHighway Traffic Board Application Review Process  \n1. The Highway Traffic Board (HTB) staff will review your application to confirm eligibility to apply for a Special Restricted License and to ensure the application is complete.  \n2. You will be scheduled to appear before the HTB members for a hearing.  \n3. Before granting restricted driving privileges the Board must be satisfied that:  \na. You and/or your family is/are experiencing exceptional hardship as a result of the suspension, and  \nb. Your request for driving privileges is not contrary to the public’s best interest.  \n4. Before rendering a decision, the HTB will consider information provided in the application, verbal testimony provided at the hearing and any other relevant written or oral information provided (example: letters of reference or support)  \nDecision  \n1. After your appeal has been heard, the HTB members have the authority to grant the restricted license or to deny the application for a restricted license.  \n2. You will receive either an email or a letter via mail with the hearing results.  \n3. If successful, you must visit an SGI motor license issuer to purchase a driver’s license or areprint of your driver’s license that contains the special restrictions.  \n4. If unsuccessful, your license will remain suspended until you are eligible for a full driver’s license.  \n5. Decisions reached by the HTB with regards to your appeal are final and binding.  \nPLEASE ANSWER AND COMPLETE THE QUESTIONS ON THE FOLLOWING PAGES AND RETURN TO THE HTB AS INSTRUCTED .  \nIt is important to print clearly and provide current and accurate information for your hearing . Incomplete applications will be returned, which may cause delays in processing .  \nSpecial Restricted Driver’s License Application  \n1. Last Name   First Name   Middle Initial   \n2. Addresses and/or location:  \nStreet Address   Suite or Box \\#   Or Land Location   City/Town    \nProvince   Postal Code   Customer Number or Driver’s License Number    \nPhone Number:  \n__________________________________________________________  \nEmail address:   I give the HTB permission to email my decision to this email address: Yes  No    \n3. Describe the circumstances and charges that resulted in your license  \nsuspension/disqualification in full. (When, where, what – give details)  \n\n|  |\n| --- |\n|  |\n|","cbCaiv8XwJhTUkWl","https://ap.wps.com/l/cbCaiv8XwJhTUkWl","pdf",225912,7,"English","# Eligibility requirements\n# Application requirements and submission\n# Application review process\n# Decision outcomes\n# Applicant information\n## Personal details\n## Contact and permission to email decision\n## Circumstances and charges","[{\"question\":\"What eligibility requirements must be met to apply for a Special Restricted License?\",\"answer\":\"Applicants must have served the required prohibition period set by the court, completed the Driving Without Impairment (DWI) and related addictions screening/program requirements, and completed the Mandatory Ignition Interlock term (when applicable). They must also pay the $175 restricted license application fee and include a copy of the receipt.\"},{\"question\":\"How do applicants submit the application to the Highway Traffic Board (HTB)?\",\"answer\":\"Applicants must complete the Special Restricted Driver’s License Application Form and send it along with a copy of the $175 fee receipt to the HTB by mail, email, or fax. The document also provides an HTB toll-free number for questions.\"},{\"question\":\"What happens after the HTB hearing and decision?\",\"answer\":\"After the appeal is heard, HTB members may grant or deny the restricted license. Applicants receive results by email or mail. If granted, they must visit an SGI motor license issuer to purchase the driver’s license or an updated license printout with special restrictions; if denied, the license remains suspended until eligible for a full driver’s license.\"}]","Highway Traffic Board Special Restricted Application Form - Complete and Return | PDF",1789830078]