Notice Of Appeal - (From Dmv To Superior Court)
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1THE SUPERIOR COURT FOR THE STATE OF ALASKA AT _______________________
IN
)
)
Appellant (person bringing appeal)
)
)
vs.
)
)
STATE OF ALASKA
)
DEPARTMENT OF ADMINISTRATION
)
DIVISION OF MOTOR VEHICLES,
)
APPEAL CASE NO.
CI
Appellee.
)
)
NOTICE OF APPEAL
(from DMV to Superior Court)
[AS 28.15.166(m)]
Notice is hereby given that
appeals to the Superior Court from the decision of the Division of Motor Vehicles Hearing
Officer dated _________________________, 20______. A copy of the decision is attached.
STATEMENT OF POINTS
The reasons for this appeal are
Date
Appellant’s Signature
D.O.B. / A.D.L. No.
Print Name
Mailing Address
City
State
ZIP
Home Phone
Work Phone
I certify that on
a copy of this notice and all other
documents filed with it was
mailed
personally delivered to:
__ DMV Director of Driver Licensing in Anchorage, and
__ Attorney General of Alaska in Juneau
By:
AP-102 (1/12) (cs)
App. R. 602
NOTICE OF APPEAL (from DMV to Superior Court)
AS 28.15.166(m)
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