{"id":6063,"date":"2020-12-27T12:34:09","date_gmt":"2020-12-27T12:34:09","guid":{"rendered":"https:\/\/daltonassociates.org\/new\/?page_id=6063"},"modified":"2024-07-19T07:46:56","modified_gmt":"2024-07-19T07:46:56","slug":"forms","status":"publish","type":"page","link":"https:\/\/daltonassociates.org\/new\/forms\/","title":{"rendered":"Forms"},"content":{"rendered":"\t\t
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<\/div>
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Forms<\/div>
Welcome to Dalton Associates Forms<\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Driving Under The Influence<\/strong><\/p>

Dalton&Associates is licensed by the State of California and approved by the County of San Bernardino, to provide DUI education and counseling services for individuals referred by the courts and\/or the Department of Motor Vehicles.<\/p>

A conviction of a DUI in a California Court will require completion of a State approved DUI program to restore complete driving privileges.\u00a0 The court may or not still be involved, however DMV remains involved until all DUI program requirements have been met.<\/p>

Dalton & Associates offers first offender Wet and Reckless, 4, 6, and 9 month programs. We also offer 12 and 18 month multiple offender programs. We can accommodate and enroll clients in our programs to fulfill requirements for out of state DUI violations.<\/p>

Please visit our program services section for more information on programs and convenient class days and times.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Instructions: Please download the PDF, fill out the form, and then submit the form by clicking the \u2018Submit Form Via Email\u2019 button. Your documents will be emailed to daltonassociates@hotmail.com<\/a>. You can also print off the desired form and bring it into our office filled out.<\/strong><\/p>

Zoom Forms-please read before filling them out: These forms are only for those who will be doing Telehealth services and using Zoom. Please understand that if you choose this option you will have to download the credit card authorization form and submit it via email and you will be authorizing us to charge your card on the agreed DUI program fees. <\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Enrollment Forms<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Client Info Update Form (English) – Fillable<\/a><\/p>

Client Info Update Form (Espanol) – Fillable<\/a><\/p>

Enrollment Packet English Fillable<\/a><\/p>

Enrollment Packet Spanish Fillable<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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Zoom Forms<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Email Consent Form (English)<\/a><\/p>

Email Consent Form (Espanol)<\/a><\/p>

Telehealth Agreement and Acknowledgment Espanol<\/a><\/p>

Telehealth Agreement and Acknowledgment English<\/a><\/p>

Credit Card Authorization Form<\/a><\/p>

Privacy Policy For Remote Client Services<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Please follow instructions and return signed document<\/i>
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If you are interested in remote classes please give us a call at 760-241-1777<\/a>. <\/strong>:<\/b><\/u><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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*Payment: We accept checks, cash, credit and debit cards.<\/p>

Administrative Hours:<\/span><\/strong><\/p>

Monday \u2013 Friday 9:00 a.m. \u2013 9:00 p.m.<\/p>

Saturday 8:30 a.m. \u2013 12:00 noon<\/p>

Class Schedules:<\/span><\/strong><\/p>

Monday \u2013 Friday 10:00 a.m. \u2013 12 noon \/ 7:00 pm \u2013 9:00 pm<\/p>

Tuesdays and Fridays 3:30 -5:30<\/p>

Saturday \u2013 9am \u2013 11am<\/p>

Phase II:<\/span><\/strong><\/p>

Second and 4th Mondays of the month: 10:00 am -11:00 am \/ 5:45 pm-6:45 pm<\/p>

Second and fourth Wednesday of the month: 5:45 pm -6:45 pm<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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FormsWelcome to Dalton Associates Forms Driving Under The Influence Dalton&Associates is licensed by the State of California and approved by the County of San Bernardino, to provide DUI education and counseling services for individuals referred by the courts and\/or the Department of Motor Vehicles. A conviction of a DUI in a California Court will require […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-6063","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/daltonassociates.org\/new\/wp-json\/wp\/v2\/pages\/6063"}],"collection":[{"href":"https:\/\/daltonassociates.org\/new\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/daltonassociates.org\/new\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/daltonassociates.org\/new\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/daltonassociates.org\/new\/wp-json\/wp\/v2\/comments?post=6063"}],"version-history":[{"count":59,"href":"https:\/\/daltonassociates.org\/new\/wp-json\/wp\/v2\/pages\/6063\/revisions"}],"predecessor-version":[{"id":6378,"href":"https:\/\/daltonassociates.org\/new\/wp-json\/wp\/v2\/pages\/6063\/revisions\/6378"}],"wp:attachment":[{"href":"https:\/\/daltonassociates.org\/new\/wp-json\/wp\/v2\/media?parent=6063"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}