Illinois SOS Form DAH H 68 Treatment Verification – Form DAH H 68, officially titled the Illinois Petitioner Treatment Verification, is a required document issued by the Illinois Secretary of State’s Department of Administrative Hearings. Petitioners seeking reinstatement of driving privileges or a Restricted Driving Permit after alcohol- or drug-related suspensions or revocations must use this form to prove they completed recommended substance abuse treatment.
The current version (DAH H 68.7, March 2026) is a fillable PDF available directly from the official Illinois Secretary of State website. You can download it here: Illinois Petitioner Treatment Verification Form DAH H 68 (PDF).
According to the rules of the Department of Administrative Hearings, petitioners must document completion of any treatment recommended in a Treatment Needs Assessment (TNA) or provide a valid treatment waiver. Form DAH H 68 serves this exact purpose.
Who Needs to Submit Form DAH H 68?
This form is required for individuals whose driver’s license has been suspended or revoked due to DUI or other alcohol/drug-related offenses and who fall into Moderate Risk, Significant Risk, or High Risk classifications on their Alcohol/Drug Evaluation Uniform Report.
You typically need Form DAH H 68 if:
- Your evaluation recommended outpatient, intensive outpatient, or inpatient treatment.
- You completed a Treatment Needs Assessment that called for intervention.
- You are preparing for a formal or informal administrative hearing to regain driving privileges in Illinois.
- You are an out-of-state resident seeking restoration of Illinois driving privileges after a related offense.
Minimal Risk cases usually require only DUI Risk Education and do not need this form. Always confirm your exact requirements with the Department of Administrative Hearings or a licensed evaluator.
Purpose of the Illinois Petitioner Treatment Verification Form
The primary purpose of Form DAH H 68 is to provide the Secretary of State with verified evidence that a petitioner has successfully completed recommended treatment. The form is completed by a licensed treatment provider (typically one licensed by the Illinois Department of Human Services, Division of Substance Use Prevention and Recovery) and includes:
- Details of the treatment received
- Admission and discharge information
- Prognosis regarding reduced risk of future alcohol/drug-related problems
- Continuing care status
This documentation helps the hearing officer determine whether the petitioner has addressed the underlying substance use issues that led to the loss of driving privileges and whether restoring those privileges would pose a danger to public safety.
Required Documents That Must Be Attached
The form itself states that copies of the following documents must be attached:
- Individualized Treatment Plan
- Discharge Summary
- Continuing Care Plan
- Continuing Care Status Report
- Continuing Care Summary Report or Treatment Waiver
If a treatment waiver was granted, or if the number of treatment hours or modality was modified from the original recommendation, a detailed rationale must be provided. For High Risk petitioners determined to be Non-Dependent, a separate detailed explanation ruling out dependency is required.
How to Complete Form DAH H 68 Step by Step?
The form is designed to be completed by the treatment provider, not the petitioner. Here is a breakdown of the key sections based on the official March 2026 version:
Petitioner Information Section
This section collects basic identifying details:
- Full name (Last, First, Middle)
- Illinois Driver’s License Number
- Current address (Street/City/State/ZIP)
- Sex (M, F, or X)
- Date of birth
- Home and work telephone numbers
Treatment Details (Items 1–4)
- Referral Source: Who referred the petitioner for treatment.
- Admission and Discharge Dates: Primary treatment only (exclude follow-up or aftercare).
- Admission and Discharge Diagnoses: Or TNA date and diagnosis if applicable.
- Treatment Modality: Indicate outpatient counseling hours, intensive outpatient hours, inpatient days, and whether individual or group therapy was used.
Prognosis and Continuing Care (Items 5–6)
Item 5 requires a written prognosis discussing what the petitioner gained from treatment and whether it substantially reduced the potential for future alcohol- or drug-related problems.
Item 6 covers continuing care status. Options include:
- Completed continuing care (summary report required)
- Currently involved in a continuing care plan (status report required)
- Completed a continuing care plan
- Has not initiated continuing care
- Continuing care waived (rationale required)
- Initiated but failed to complete (reason required)
Rationale and Certification (Item 7 and Signature Block)
Providers must explain any modifications to recommended hours or modality, treatment waivers, or additional recommendations. The provider then certifies the accuracy of the information, signs and dates the form, and provides their title, telephone number, program name, accreditation/license number, and address.
Where and How to Submit Form DAH H 68?
Submit the completed original form along with all required attachments as part of your hearing packet. Formal hearing requests and supporting documents are typically mailed to the Department of Administrative Hearings. Common addresses include:
- Springfield Flagship Office: 2701 S. Dirksen Parkway, Springfield, IL 62723
- Chicago Office: 17 N. State St., Suite 1200, Chicago, IL 60602
For the most current mailing instructions and hearing locations, visit the official Illinois Secretary of State Administrative Hearings page. Phone support is available at 217-782-7065 (Springfield) or 312-793-3722 (Chicago).
Always download the latest version of the form from the official source rather than third-party sites to ensure you have the current edition.
Tips for a Successful Submission
- Ensure the form is completed by a properly licensed Illinois treatment provider.
- Attach original continuing care status reports when required (copies may not be accepted for certain items).
- Make sure evaluations and related documents are current—most Alcohol/Drug Evaluations must be no more than six months old at the time of the hearing.
- Double-check that all diagnoses, dates, and hours match the supporting treatment records.
- Keep copies of everything you submit for your records.
- If you have questions about risk classification or documentation, consult your evaluator or an attorney experienced in Illinois driver’s license reinstatement cases.
Related Illinois Secretary of State Forms and Resources
Petitioners often need additional documentation. Official forms available from the Illinois Secretary of State include:
- Administrative Hearings Publications and Forms list
- Illinois Petitioner Alcohol/Drug Evaluation Report Update (DAH IH 34)
- Documentation of Abstinence/Character/Substance Use (DAH IH 51)
- Petition for a Restricted Driving Permit or Reinstatement (DAH IH 28)
For complete hearing requirements, review the official Alcohol- and Drug-Related Hearings information on the Illinois Secretary of State website.
Conclusion
Illinois Secretary of State Form DAH H 68 – Illinois Petitioner Treatment Verification is a critical document for anyone seeking to restore driving privileges after an alcohol- or drug-related suspension or revocation. Completing it accurately with all required attachments from a licensed provider significantly improves the chances of a successful hearing outcome.
Download the official current form directly from the Illinois Secretary of State: DAH H 68 PDF Download. Always verify the latest requirements on ilsos.gov before submitting your materials, as procedures and form versions can be updated.
If you need personalized guidance, contact the Department of Administrative Hearings or consult a qualified professional familiar with Illinois driver’s license reinstatement processes.