Form Ds 1150 - Official Notice Of Personal Service
Download a blank fillable Form Ds 1150 - Official Notice Of Personal Service in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Ds 1150 - Official Notice Of Personal Service with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2GEORGIA DEPARTMENT OF DRIVER SERVICES
P. O. BOX 80447
CONYERS, GEORGIA 30013
OFFICIAL NOTICE OF PERSONAL SERVICE
YOU ARE HEREBY NOTIFIED that as of ____________________________ (date of suspension)
your driver’s license and privilege to operate a motor vehicle in the State of Georgia has been
SUSPENDED / REVOKED/ CANCELLED as provided for by law for the reason(s) listed below:
Henceforth, it shall be unlawful for you to operate a motor vehicle in the State of Georgia. Under
Georgia law, it is a misdemeanor for any person to fail or refuse to surrender to the Department of
Driver Services, upon lawful demand, any driver’s license or permit that has been
SUSPENDED / REVOKED / CANCELLED.
YOU ARE HEREBY ORDERED to surrender any driver’s license or permit in your possession, and
particularly the below numbered license(s), to the Department of Driver Services, or show cause why
you cannot. If the license has been lost or stolen, a notarized affidavit (DS-250A) is required.
________________________________________
__________________________________
Name
Date of Birth
________________________________________
__________________________________
Address
Sex
________________________________________
__________________________________
City
State
Zip
License Number
I HAVE PERSONALLY RECEIVED SERVICE OF SUSPENSION / REVOCATION/
CANCELLATION OF MY DRIVER’S LICENSE.
_________________________________________
__________________________________
Date
Signature of Licensee
License picked up? Yes____
No______
If no, why not_____________________________
__________________________________________________________________________________
Serving Officer’s Signature
Print Name and Badge Number
__________________________________________________________________________________
Agency Serving Order
Telephone Number
__________________________________________________________________________________
Agency’s Mailing Address
City
State
Zip
HEARING INFORMATION ON REVERSE SIDE
DS-1150 (04/06)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal