Form Aa-33 - Traffic Violations Bureau Appeal Form
Download a blank fillable Form Aa-33 - Traffic Violations Bureau Appeal Form 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 Aa-33 - Traffic Violations Bureau Appeal Form 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
2New York State Department of Motor Vehicles
AA-33 (9/12)
TRAFFIC VIOLATIONS BUREAU (TVB) APPEAL FORM
WHAT IS REQUIRED TO FILE AN APPEAL:
You must send this
(2 pages) and a
to the
COMPLETED, SIGNED APPEAL FORM
$10 APPEAL FEE
DMV Appeals Board. Read this entire form carefully. Type or print your information clearly. You must state your appeal reasons on page 2 of this form. You
must pay a $10 appeal fee for each TVB ticket you appeal. DO NOT SEND CASH. Make your check or money order payable to the “Commissioner
of Motor Vehicles.” Print your ticket number on your check or money order. Appeal fees are non-refundable. A $35 penalty is charged for dishonored checks.
:
DEADLINE TO FILE AN APPEAL
You must send the
to the DMV Appeals Board
APPEAL FORM and APPEAL FEE
within THIRTY (30) DAYS of the
If you file by mail, the USPS postmark will be used to determine if your appeal is timely. If the postmark is illegible, the date
conviction or hearing date.
your appeal is received will be used to determine timeliness. You should keep copies of your completed appeal form, appeal fee, and proof of mailing.
WHERE TO SEND YOUR APPEAL:
Mail the appeal form and appeal fee to:
DMV Appeals Board
Appeals Processing Unit
P.O. Box 2935
Albany, NY 12220-0935
, go to the DMV website at:
To file an APPEAL ONLINE
The Appeals Board will send you a letter acknowledging receipt of your appeal. If you do not receive such letter within 20 days after filing your appeal,
.
contact the Appeals Board at (518) 474-1052 or at the above address
:
T
ISSUES RAISED ON APPEAL
he Appeals Board may review both the guilty determination and penalty if a transcript is timely submitted. If the only
issue raised on appeal is the penalty, the Appeals Board will not need to review a hearing transcript.
Check the appropriate box.
¨
I APPEAL THE GUILTY DETERMINATION AND PENALTY. I UNDERSTAND THAT I AM REQUIRED TO PAY THE TRANSCRIPTION COMPANY FOR
.
THE HEARING TRANSCRIPT TO BE SUBMITTED TO THE APPEALS BOARD FOR REVIEW
The Appeals Board will acknowledge receipt of your appeal form and fee with a letter that will direct you to pay a $50 transcript deposit to the
Transcription company within 30 days of the letter. The Appeals Board does not accept transcript payments. By law, if you do not pay the Transcriber in
a timely manner, the Appeals Board cannot review the guilty determination and may review the penalty only.
¨
I APPEAL THE APPROPRIATENESS OF THE PENALTY ONLY (fine, suspension/revocation) AND ACCEPT THE GUILTY VERDICT. I UNDERSTAND
THAT THE APPEALS BOARD WILL NOT REVIEW THE TRANSCRIPT OR ANY STATEMENTS MADE AT THE HEARING.
¨
I DID NOT APPEAR BEFORE A HEARING OFFICER and/or NO TRAFFIC VIOLATIONS BUREAU HEARING WAS HELD. THE APPEAL WILL BE
REVIEWED WITHOUT A TRANSCRIPT.
:
STAY OF SUSPENSION OR REVOCATION PENDING APPEAL
The Appeals Board will not grant a stay unless you provide (on page 2) valid
reasons for requesting the stay and for submitting the appeal. You will be notified of the decision to grant or deny your stay request.
¨
I REQUEST THAT THE SUSPENSION OR REVOCATION OF A LICENSE, PERMIT OR PRIVILEGE RESULTING FROM THE TVB CONVICTION BE
.
STAYED OR STOPPED PENDING THE OUTCOME OF THE APPEAL
FINE PAYMENTS:
EVEN IF YOU FILE AN APPEAL, YOU MUST PAY THE FINE AND SURCHARGES RESULTING FROM THE CONVICTION.
UNPAID FINES, SURCHARGES, OR TERMINATION FEES WILL RESULT IN LICENSE SUSPENSIONS, WHICH ARE NOT STAYED BY THE BOARD.
Do not send fine payments to the Appeals Board. Send payments for TVB fines and surcharges to:
DMV Traffic Violation Division Plea Unit
P.O. Box 2950-ESP
Albany, NY 12220-0950
REQUIRED APPEAL INFORMATION:
All correspondence for this appeal will be sent to the address(es) supplied on this appeal form. You must notify
.
the Appeals Board in writing immediately of any change of address that occurs after this appeal is filed
Last Name
First
M.I.
NYS Driver
License ID Number
Appeal Mailing Address (Street)
APT#
Ticket #
City
State
Zip Code
Violation
Date of Birth
Sex
Violation
Month
Day
Year
Month
Day
Year
o
o
Date
M
F
ATTORNEY FOR THIS APPEAL (If any)
Conviction
Month
Day
Year
Date
Hearing Time
ATTORNEY MAILING ADDRESS: (Street)
Hearing Location
o
AM
:
o
PM
City
State
Zip Code
Hearing Officer
For DMV use only:
CONVICTIONS
o
$10 Appeal Fee received
Amount $__________________
Date: _________________
o
o
Check
Money Order
o
No Fee Received
30th Day:______________
STAY __________________________
PAGE 1 OF 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal