Form Aa-3.3 - Application To Reopen Default Conviction Page 2

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Operating Without Insurance
To support a claim that your insurance was valid on the date of the violation, the following documentation must be attached:
1. If your vehicle was registered in NY at the time of the Operating Without Insurance violation, provide a letter from your insurance
company (not your broker or agent) on the company’s letterhead stating that the vehicle was insured on the date the ticket was
issued. The letter must be signed. The letter must contain the vehicle year, make (i.e. Ford, BMW, etc.) and the vehicle
identification number (VIN).
2. If your vehicle was registered in a state other than NY at the time of the Operating Without Insurance violation AND we find that
you had an acceptable reason for not responding to the ticket, we will approve your application to reopen the default conviction,
and we will schedule a new hearing.
Reason for Failure to Appear at your Scheduled Hearing
Examples of documentation:
If you failed to appear due to your incarceration, a letter from the Correctional Institution, the Parole Board or other appropriate agency,
on agency letter head, signed by an authorized agent and verifying dates of incarceration, must be provided.
If you failed to appear due to your hospitalization, provide proof verifying the dates that you were hospitalized.
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AA-3.3 (4/16)

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