DMV Administrative Hearing Request Letter after DUI Arrest Template

[Your Full Name]
[Your Street Address]
[City, State/Province, ZIP/Postal Code]
[Phone Number]
[Email Address]
[Date of Birth: MM/DD/YYYY]

[Date]

[Name of DMV / Licensing Authority]
Attn: [Hearing Office / Driver Safety Office / Reinstatement or Hearings Division]
[Street Address]
[City, State/Province, ZIP/Postal Code]

1. Subject and Identification

Re: DMV Administrative Hearing Request after DUI Arrest – [Your Full Name], License No. [Driver’s License Number], Notice/Case No. [Notice or Case Number, if available]

2. DUI Arrest and Notice of Suspension

I, [Your Full Name], was arrested for driving under the influence (DUI) on [Date of DUI Arrest] in [City, State/Province].

On or about [Date of Notice / Date on Suspension Paperwork], I received a notice from [Name of Agency / Officer / DMV] informing me of a proposed suspension or revocation of my driving privileges in connection with this arrest, effective on or after [Effective Date, if shown].

3. Formal Request for DMV Administrative Hearing

Pursuant to the applicable laws and regulations governing driver’s license suspensions in [State/Province], I hereby formally request an administrative hearing regarding the proposed suspension or revocation of my driver’s license related to the above-referenced DUI arrest and notice.

I request that this hearing be scheduled within the time and manner provided by your rules and that my current driving status be handled in accordance with those rules pending the outcome of the administrative hearing.

4. Contact Information and Preferred Method of Communication

My current contact information is as follows:

Mailing Address: [Your Street Address, City, State/Province, ZIP/Postal Code]
Primary Phone Number: [Phone Number]
Email Address: [Email Address]

Please send all notices regarding the scheduling, location, or method of the hearing (in person, telephone, or video, as applicable) to the address and/or email listed above.

5. Attorney or Representative Information (If Applicable)

I am represented in this matter by:

[Attorney’s Full Name]
[Law Firm Name]
[Attorney’s Street Address]
[City, State/Province, ZIP/Postal Code]
Phone: [Attorney’s Phone Number]
Email: [Attorney’s Email Address]

Please copy my attorney on all correspondence and notices related to this administrative hearing.

[If you do not have an attorney, delete this section.]

6. Enclosures (If Any)

Enclosed with this letter, please find copies of the following documents for your reference:

• Copy of the DUI-related notice of suspension or revocation dated [Date].

• Copy of the citation or arrest report cover page, if available.

• Any additional documents you require or recommend.

7. Closing and Signature

Thank you for your attention to this request and for scheduling an administrative hearing regarding the proposed action against my driver’s license. If you require any additional information to process this request, please contact me at [Phone Number] or [Email Address], or through my attorney listed above.

Respectfully submitted,

[Your Signature, if printed]
[Your Full Name]
[Date]