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Ce the accident date and no suit has been filed in court for the damages, this form can be completed as the initial compliance. The form must be signed by the person and notarized. The form cannot be signed by a court clerk as there may be a suit filed in a different court. The form can be mailed along with all other requirements for reinstatement to the Tennessee Department of Safety, 1150 Foster Avenue, Nashville, TN 37210 or submitted in person at one of our reinstatement offices. STATE OF .

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