STATE CERTIFIED ADSAC ASSESSORS June 2016

ADA DURANT MEAD OKLAHOMA CITY- SE SKIATOOK 580/332-3001—Herb 580/224-7751—Tammy 580/465-0827—Sherri Miller 405/600-3252—Cody 918/688-5863—Chrystal Darras/Vicki Orsburn Morgan Shoemaker Probasco 580/272-3962—Lynette MIAMI 405/455-3480—Patty Canup EDMOND 918/542-1296—James Burnett/Joyce Perry STIGLER 580/332-6345—Lisa 405/412-7128—Cynthia Brunhuber 405/408-7768—June Elkins- 918/967-8223—Diana Lundgren Hedges 918/542-4232—George Baker Shores 405/471-9301— Natasha Weber 405/568-2744— Nicole ALTUS Webb Brown STILLWATER 580/318-1977—Sherri Cone 405/414-5946—Thomas MUSKOGEE 405/448-4330—Nichelle 405/744-2818—Kara 580/301-1113—Lynette Baroi 918/682-2841—Allie Stewart Niccum Kennelly 405/341-3554—Helen Grantham/Michelle Scroggins 580/402-5467—Kim Poslick 405/623-9869—Sonya Stricklin/Belinda 918/686-8188—Mary Klenda OKLAHOMA CITY- SW 405/880-3213—Diana McAuliffe Crosier/Darcy Eitzmann 918/441-7775—Victoria 405/881-9638—Brooke Littlefield 405/943-7483—Susan Dillard Montoya 405/372-0198—Nancy ANTLERS Steele/Patricia Burnett/Joyce 405/748-6292—D. Mazaheri Tillman 580/298-7301—Wendy Perry MUSTANG 405/604-3784—Paul Taylor 405/376-3600—Linda West/ /Ryan West /Amy TISHOMINGO EL RENO Compton Anderson/Stephanie Dean 580/263-0062—Patrick ARDMORE 405/262-7227—Linda 405/990-3532—Wendell McCain 580/465-2194—Billy Clark Compton NORMAN Hester 580/465-0827—Sherri Miller 405/447-4499—Robert TULSA 580/490-6342—Wadonna ELK CITY Johnson OKMULGEE 918/951-6344—Rita Maxwell Wells 580/225-7930—Eileen 405/447-1114 —Kathy 918/758-1910—Laura 918/899-9690—Linda 580/224-7751—Tammy McGee Gilliam/Freddie Savage Lannom Morgan 580/225-4337—Carla Suitor Karcher/Robert 918/231-7307—Pamela 918/587-3888—Bonnie 580/226-1656—Kevin Bone 580/323-6021—Marilyn Shelton/Joyce Perry Sparks Brazwell/Teresa Williams Thigpen 405/447-5538—Jeanette 918/756-9250—Lillian 918/621-1600—Diana BARTLESVILLE Anderson Michelle Jenkins Barbee/Peggy White 918/557-9307—Doris Reed ENID 405/310-0150—Michael 918/758-1930—Leslie Crow Judy Wilson//Larry 918/231-7703—Ronald 580/747-5327—Michael Vaughn 918/928-7303—Daniel Morris Hochhaus (*SP) Snoddy Coleman 405/474-9374—Shane 918/557-9307—Doris Reed 918/397-1584—Larry French 580/977-7040—Tasha Wilson OWASSO 918/760-2713—Mary Gates 918/200-9237—Hannah Jantzen 405/321-0022—Larry Gaines 918/688-5863—Chrystal 918/406-6862—Malcolm Feuerborn 580/234-4800—Tanya /Tammy Morgan Probasco Davis Kennedy 405/573-9728—Allan Dupuis 918/902-5348—Latia Parker BLACKWELL PAULS VALLEY 918/232-4288—Ann 580/363-0100—Jeanette GROVE OKLAHOMA CITY- NW 405/238-3241—Kathryn Jamieson Mefford 918/787-2242—Randy Stine 405/232-1000—Vicki Wyatt Gilliam 918/586-2039—Dana 405/326-6868—Donna 405/238-4592—Darla Fitzgerald BROKEN ARROW GUTHRIE Cunningham Schmidt Hamilton 918/607-7919—Robin 918/576-4877—Kassie 405/282-5524—Rebekah 405/943-7483—Cynthia Spears DuVall Campbell Barry/Joseph Hill PAWHUSKA 918/384-0002—Maureen 918/734-2983—Amanda 405/412-7128—Cynthia Kathryn Gilliam/Patricia 405/742-8445—Penny Britton Guerrero Spriggs Hedges Shidler/Susan Steele/Patricia 918/576-4877—Kassie 918/231-0195—Lawrence 405/304-0085—Charles Sanderson/Robert Shelton PERRY DuVall Gilbert Kissick /Patricia Burnett/Fakhry 580/370-5510—Lonnie 918/747-6377—Craig Barrett 405/315-4990—Rachelle Taleb/Freddie Karcher Rutherford (*SP) CHANDLER Harjo 405/476-7561—Andrea 918/804-8339—Laurie 800/522-9050—Joyce Perry Gomez (*SP) PONCA CITY Hesson GUYMON 405/601-4565—Mariechia 580/762-1462—/Jan 918/691-1116—Christine CHECOTAH 580/-754-0962—Jeanette Palmer Honeyman Robinson 918/441-7775—Victoria Mefford 405/413-9330—Carlene 580/304-9991—Kenny James 918/606-6460—Kathy Dillard Drach Wilkinson HUGO 405/842-0500—Ruth Burton- POTEAU 918/734-2983—Amanda CHICKASHA 580/326-7862—Dennis Pugh 918/649-5035—Larry Tustin Spriggs 405/222-4786—Andrew Byte Whitten 580/370-5510 — Lonnie 479/650-9691—Ricky 918/606-3656—Laura 405/574-4610—Gary McAtee Rutherford Huggins Savage 405/222-2311—Robert IDABEL 405/412-6218—Chidiebere Shelton/Freddie Karcher 580/286-3301—/Dennis Ndubueze PRYOR VINITA Whitten 405/607-4041—Zachory 918/825-4872—Susan Mills- 918/244-6416—Betty CHOCTAW Randall (*SP) Parker/Kelli Anderson/Phyllis Showler 405/390-8131—Nichelle KINGFISHER 405/361-8127—Dawn Henry Hess/Jim Schardein/Jimmy Stewart 405/315-4990—Rachelle 405/810-1766—James Stone WAGONER Harjo Patterson/Russell Brown/Billy 918/776-0700—Melissa CLAREMORE Samuel/John Cullen SALLISAW McDaris 918/283-1423—Mara Warder LANGLEY 405/840-7040—Brandi 918/441-7775—Victoria 918/482-0242—Gaye 918/342-3334—Lance West 918/244-6416—Betty Ricketts Dillard Wheeler Showler 405/524-2424—Mariechia CLINTON Palmer SAPULPA WATONGA 580/323-6021—Marilyn LAWTON 405/840-5252—Wenona 918/224-0225—Steven 580/430-6904—Kay Weber Thigpen 580/357-8114—Christina Barnes Fritz/Craig Barrett Erman/Robert Milstead 405/315-4990—Rachelle WEATHERFORD CUSHING 580/301-1113—Lynette Harjo SEMINOLE 580/772-7622—Jamie 918/225-1225—Joyce Lowe Kennelly 405/201-5855—Desma 580/332-3001—Herb LoVecchio Hays (*SP) 918/285-6268—Nichole 580/514-1886—Sherri Cone McKinney Darras/Vicki Orsburn Graves 580/695-3646—Joe Talley 405/471-9301—Natasha WILBURTON 580/536-0365—Joe Talley Webb SHAWNEE 479/650-9691—Ricky DUNCAN 405/878-0464—Kellie Dunn Huggins 580/255-8800—Joan Shutts MADILL OKLAHOMA CITY- NE 405/943-7483 —Patty 580/475-0148—Sherrel 580/490-6342—Wadonna 405/455-3480—Patricia Burnett/Kathryn Gilliam/Joyce WOODWARD Barnhart Wells Burnett/Joyce Perry Perry 580/256-8855—Jenice 580/677-1965—Tanya 405/737-5100—Rita Maxwell 405/273-1170—Jacqueline Petree Magness 405/201-5855—Desma Myles 580/334-4638—Roberta McKinney Gilbert McALESTER 405/528-8686— 580/571-1624—Elaine 918/420-5238—Nellie Dr.Haskins/Karen Ting Adams Meashintubby 405/637-5935—Lamont 918/423-9400—Leslie Crow Malcolm YUKON 918/421-3500—Amanda 405/226-8152—Suzanne Wooley/Brooke Mason Cannon 405/205-9677—Otto Cargill

*(SP): Locations with Spanish interpreter available for the ADSAC assessments: Oklahoma City: 405/607-4041 and 405/476-7561 Norman: 405/310-0150 Tulsa: 918/747-6377 and 918/621-1600 Muskogee: 918/686-8188

WHAT TO EXPECT WHEN YOU RECEIVE AN ADSAC (DUI) ASSESSMENT

To answer questions about your offense(s) honestly.

To pay a total of $160.00 for your assessment, unless your arrest/conviction was prior to 11/01/2008 ($175).

To be assessed in a professional setting.

To receive written information regarding your recommendations.

To receive information identifying the professional credentials of your ADSAC assessor.

To have a formal, face-to-face clinical interview with a certified ADSAC assessor.

To be given a minimum of three outside referral options or as many as are available within a 70 mile radius.

Only for offenses before July 1, 2003 – To receive your completion certificate upon finishing the assessment.

Only for offenses after July 1, 2003 – To complete recommendations and return to the assessor with documentation of completion of each, then receive a completion certificate with a red stamp.

If you are a person with a disability, please contact the Office of Disability Concerns

405/521-3756 * 800/522-8224 * 405/522-6706 TDD * 405/522-6695 Fax * www.ohc.state.ok.us NOTICE

You must first get an ADSAC assessment. The ADSAC Assessment fee is set at $160 by law (unless arrest/conviction was prior to 11/01/2008—then $175) and assessment must be completed by an assessor certified by the Department of Mental Health and Substance Abuse Services specifically for the purpose of reinstatement of driver’s license. Client must follow and complete all recommendations made by the certified assessor and any additional requirements made by the Department of Public Safety before driver’s license will be reinstated. Upon completion you will be provided a completion certificate to present to DPS. You must meet all statutory requirements to be reinstated.

No citizen shall be compelled to travel more than 70 miles to complete this requirement. Complete the affidavit below if there is no Oklahoma course offered within 70 miles of your residence. All required information must be given for consideration. (File number is on notice from DPS) Review the list carefully. Making a false affidavit is perjury under 47 O.S. 6-302 of our state statutes. Mail the completed affidavit to Driver Compliance, PO Box 11415, Oklahoma City OK 73136-0415.

AFFIDAVIT State of

County of

The undersigned, being duly sworn upon oath, deposes and declares that there is no Oklahoma DUI education facility located within seventy (70) miles of the residence of the undersigned affiant.

Print Name Address City State Zip

Signature

Department of Public Safety File Number/DL# Date of Birth

Subscribed and sworn to before me this day of ,

Commission No. Notary Public (SEAL) Expires:

DO NOT WRITE BELOW THIS LINE OFFICIAL USE ONLY

ACTION DATE ACTION TYPE D.P.S. OFFICIAL