Dmv Form Ivp 005 PDF Details

Understanding the DMV IVP 005 form is crucial for anyone facing withdrawal actions against their driving privileges in Nevada. This form serves an important function by allowing individuals to request a hearing for various withdrawal actions, excluding those resulting from court orders and child support suspensions. With specific provisions for a variety of scenarios, such as revocation orders, security deposit suspensions, and suspensions due to failure to appear in court or pay a fine, the DMV IVP 005 form outlines the necessary steps and documentation required for submitting a hearing request. Key elements include the necessity of providing current proof of insurance, alongside the vehicle's Nevada license plate number and Vehicle Identification Number (VIN). The form's provision for detailing the reason behind the hearing request underscores the personalized attention each case receives. Additionally, contact information for the Office of Administrative Hearings, including addresses and phone numbers for their three locations in Carson City, Las Vegas, and Elko, offers avenues for further assistance. Through the completion and submission of this form, individuals are offered a pathway to contest actions taken against their driving privileges, emphasizing the importance of due process and the individual's right to a fair hearing.

QuestionAnswer
Form NameDmv Form Ivp 005
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesivp005 dmv nevada request for hearing form

Form Preview Example

555 WRIGHT WAY CARSON CITY, NV 89711 (775) 684-4368 TOLL FREE (877) 368-7828

www.dmvnv.com

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)

HEARING REQUEST

PLEASE TYPE OR PRINT

I,______________________________________________________________________________________________

(Applicant’s Name)

request a hearing regarding the revocation/suspension of my:

Driver’s License

Driver’s License Number____________________________________________________________

Vehicle Registration

License Plate Number____________________,Year___________,Make______________________

Vehicle Identification Number________________________________________________________________________

Current proof of liability insurance must be presented with this request for all affected vehicles.

State reason for hearing request:

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________

ADDITIONAL VEHICLES:

License Plate Number

Year/Make

Vehicle Identification Number

_____________________________

_____________________

____________________________________

_____________________________

_____________________

____________________________________

_____________________________

_____________________

____________________________________

_____________________________

_____________________

____________________________________

Name of Applicant______________________________________________________________________________

 

Last

First

M.I.

 

Address_______________________________________________________________________________________

 

 

City

State

Zip Code

Telephone Number:

Day(____)___________________________

Evening(____)_________________________

______________________________________________________

_____________________________________

Applicant’s Signature

Date

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