Illinois Form DAH IH 67 Non-Traditional Support Guide

What Is Form DAH IH 67?

Form DAH IH 67 is titled “Documentation of Non-Traditional Support/Recovery Program.” It is used when a petitioner’s recovery support does not involve a recognized, organized program like AA or NA. Instead of three original letters from fellow members, individuals involved in the petitioner’s support network may complete this form.

The form gathers key information about the relationship between the supporter and the petitioner, the frequency of contact, the supporter’s role in maintaining abstinence, and observed changes in the petitioner’s behavior. Each completed form must be signed and dated under penalty of perjury pursuant to 735 ILCS 5/1-109.

Official copies are available directly from the Illinois Secretary of State. You can download the current version here: Download Form DAH IH 67 (PDF).

When Is Form DAH IH 67 Required?

Under Illinois Administrative Code Title 92, Section 1001.440, petitioners classified as High Risk – Dependent must establish a support/recovery program and document abstinence. If the program is non-traditional, the rules specifically require:

• Identification of the program and an explanation of how it works to maintain abstinence.
• Written verification (or live testimony) from at least three independent sources who participate in the program.

Form DAH IH 67 fulfills the written-verification requirement. It is commonly needed for drivers with multiple DUI dispositions who are requesting driving relief through the Department of Administrative Hearings.

Traditional self-help groups use a different form (DAH IH 52). Non-traditional networks—such as family accountability systems, church groups without formal 12-step structure, sober living communities without recognized affiliation, or personal recovery plans supported by friends and coworkers—require DAH IH 67.

Required Information on Form DAH IH 67

Each supporter completing the form must answer six specific questions:

1. What is your relationship to the petitioner (family member, friend, co-worker, etc.)?
2. How long have you known the petitioner?
3. How often do you see the petitioner (daily, weekly, monthly, etc.)?
4. How are you involved in the petitioner’s support/recovery program, and how does that help them remain abstinent?
5. If you knew the petitioner while they were actively drinking/using, what has changed that now enables you to help them remain abstinent?
6. What changes have you seen in the petitioner since they have been involved in this support/recovery program?

The form also requires the petitioner’s full name and Illinois driver’s license number at the top. The supporter signs, dates the document, and provides their address. Letters or forms must be signed and dated within 45 days of an in-person hearing.

Additional Requirement: Petitioner’s Personal Statement

Completing three DAH IH 67 forms is not enough. The petitioner must also submit an original, personally prepared letter (or Form DAH IH 71 – Documentation of Non-Traditional Support/Recovery Program Cover Letter) that:

• Identifies and explains the support/recovery program.
• Lists the members/participants and their relationships.
• Describes specifically how the program and its participants help maintain abstinence.

This personal statement must also be signed and dated within 45 days before mailing or the hearing date. Form DAH IH 71 is available on the same official publications page as DAH IH 67.

How to Submit Form DAH IH 67?

All documentation must be original. Photocopies or faxes may be accepted temporarily, but originals are required within a timeframe set by the hearing officer. Forms should be downloaded and filled using Adobe Acrobat Reader for best results, as recommended by the Illinois Secretary of State.

Submit the completed forms along with other required hearing documents (alcohol/drug evaluation, treatment verification, abstinence letters, etc.) either by mail to the Department of Administrative Hearings or in person at the scheduled hearing. Check the current Alcohol- and Drug-Related Hearings page for the latest submission instructions and facility locations.

Tips for a Strong Submission

Hearing officers evaluate the credibility of sources and the overall evidence. Strong responses on Form DAH IH 67 include concrete details rather than vague statements. Supporters should describe specific actions (daily check-ins, shared activities that replace former drinking patterns, accountability conversations) and observable behavioral changes (improved employment stability, better family relationships, consistent attendance at recovery-related activities).

Petitioners should ensure the three supporters are independent of one another and can speak knowledgeably about the recovery process. Combining Form DAH IH 67 with consistent abstinence letters (Form DAH IH 51) and a clear personal statement significantly strengthens the case for driving relief.

Where to Find Official Forms and Additional Resources?

All Administrative Hearings forms, including DAH IH 67 and the companion cover letter DAH IH 71, are free and available on the Illinois Secretary of State website:

• Form DAH IH 67 – Documentation of Non-Traditional Support/Recovery Program
• Complete list of Administrative Hearings Publications and Forms
• Alcohol- and Drug-Related Hearings Requirements

For the governing regulation, refer to Illinois Administrative Code Title 92, Part 1001, Section 1001.440(i) regarding non-traditional support/recovery programs.

Conclusion

Form DAH IH 67 provides a standardized way for Illinois drivers to document non-traditional recovery support when seeking reinstatement or a Restricted Driving Permit. By carefully completing the form with three independent supporters, pairing it with a detailed personal statement, and meeting the 45-day signature requirement, petitioners present clear evidence of ongoing abstinence and accountability. Always use the most current official PDF from the Illinois Secretary of State to ensure compliance with Department of Administrative Hearings standards.

Download the form today and prepare your documentation thoroughly to support a successful hearing outcome.