(concurring specially).
While I concur in the result, I find it unnecessary to decide that the information requested in the pre-administrative review form is not violative of the privilege against self-incrimination. The form is not authorized by statute and I would hold that the information requested, if given, is not usable in a criminal proceeding. Such a holding would make the administrative hearing more meaningful and open because the driver would be more likely to tell his complete story, thus resulting in fewer court-contested cases.