Law Enforcement Guide to DDS Forms 
DS-1205  ALS Suspension Notification & Chemical Test Report 
Purpose: serves as a temporary driver's license for the arrestee when signed by the officer (date of issuance + 30 days) Note: The DS-1205 should not be signed by the officer (thus activating it) if the driver did not have a valid license at the time of arrest. 
When it is used: when an individual is charged pursuant to 40-6-391 AND was requested to submit to a state administered chemical test AND: 
- the driver refused implied consent, OR - chemical tests indicated a BAC of .08 grams or more for a driver 21 years of age or older, OR - chemical tests indicated a BAC of .02 grams or more for a driver under 21 years of age, OR - chemical tests indicated a BAC of .04 grams or more for a driver operating a commercial motor 
vehicle Note: If a particular situation is not described above exactly, please do not create an extra line; refer to the 180-day sticker below. 
What else should be done: the officer should seize the driver's license and forward it along with the DS-1205 to Driver Services within 10 days of issuance 
DS-1127 - 180-Day Temporary Permit 
Purpose: serves as a temporary driver's license for the arrestee when affixed to the driver's copy of the citation for 40-6-391 (date of citation + 180 days) 
When it is used: when an individual is charged pursuant to 40-6-391 AND the driver was requested to submit to state administered chemical test AND: 
- the results indicated an alcohol concentration in violation of 40-6-391 but less than the level for an administrative suspension as outlined on the DS-1205 (a `less-safe' DUI) 
- the chemical test results are pending at the time of processing the arrestee (either for alcohol or drugs) 
What else should be done: the officer should seize the driver's license; affix a 180-day sticker to the arrestee's copy of the citation; the driver's license should be attached to the `court copy' of the UTC and forwarded to the court where it shall be held pending disposition 
Updated 07/06 
 
 DS-1205S  Supplemental Chemical Test Report 
Purpose: used to notify DDS of the final results of a chemical test for DUI-alcohol 
When it is used: when the final results arrive for a chemical test that was pending at the time of arrest; 
What else should be done: the appropriate BAC should be indicated on the form and submitted to DDS if: 
- chemical tests indicated a BAC of .08 grams or more for a driver 21 years of age or older, OR - chemical tests indicated a BAC of .02 grams or more for a driver under 21 years of age, OR - chemical tests indicated a BAC of .04 grams or more for a driver operating a commercial motor 
vehicle 
Note: The DS-1205S is not applicable, and should not be submitted to DDS, if the chemical tests indicated: a BAC level less than described above, the presence of any drug, or the presence of any inhalant/vapor as described in 40-6-391(a)(3). 
DS-1030  Personal Service on Habitual Violator 
Purpose: official notice of personal service on an individual whose license has been revoked 
When it is used: when an officer has contact with an individual who has been classified a habitual violator pursuant to 405-58, and had their license revoked by DDS, but has not been declared and served of that habitual violator revocation 
What else should be done: seize the driver's license and forward it along with the form to DDS 
DS-1150  Official Notice of Personal Service for Suspension 
Purpose: official notice of personal service on an individual whose license has been suspended 
When it is used: when an officer has contact with an individual who has had their license suspended by DDS resulting from a conviction as outlined in Chapter 5 of Title 40 in O.C.G.A., but has not been served notice of that suspension 
What else should be done: seize the driver's license and forward it along with the form to DDS 
Updated 07/06