Form Ivp-005 - Hearing Request

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555 WRIGHT WAY
CARSON CITY, NV 89711
(775) 684-4368 TOLL FREE (877) 368-7828
HEARING REQUEST INFORMATION
Drivers License:
You may request a hearing for any withdrawal action taken against your driving privileges except court orders and child
support suspensions.
If you are requesting a hearing concerning a revocation order with a file number beginning with an IP, you may contact
your local DMV Hearing Office. You may not request a hearing after the ninety-day revocation period has ended.
If you are requesting a hearing for a security deposit suspension, the Department must receive your request within
fifteen days from the date the suspension went into effect.
If you are requesting a hearing on a suspension for failure to appear to pay a fine in court, the Department must receive
your written request before the suspension goes into effect.
Insurance Verification:
Please provide:
1.
Current Proof of Insurance.
2.
Nevada License Plate Number and Vehicle Identification Number (VIN) for each vehicle.
The Office of Administrative Hearings has three locations and can be reached at (775) 684-4572 or Toll Free at
(800) 992-0900.
Carson City
Las Vegas
Elko
555 Wright Way
2701 E. Sahara Avenue
3920 E. Idaho Street
Carson City, NV 56400
Las Vegas, NV 89104
Elko, NV 89801
(775) 684-4572
(702) 486-4940
(775) 753-1239
If you are requesting a Hearing, please complete the reverse side of this form
IVP-005 (Rev 09-03)

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