Form Mv 1192 – Fill Out and Use This PDF

The MV-1192 form is an official document from the New York State Department of Motor Vehicles (DMV) utilized in the process of suspending or revoking a driver's license. It outlines the conditions under which an individual may continue to have driving privileges, if applicable, until the start of the suspension or revocation. If you or someone you know needs to navigate the complex process of a driver's license suspension or revocation, understanding and properly completing this form is essential. Click the button below to get started on filling out your MV-1192 form accurately.

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Form Mv 1192 PDF Details

Navigating the complexities of motor vehicle laws in New York State, the MV-1192 form serves a critical role in the administration of driving privileges post-conviction for certain offenses. The document, issued by the New York State Department of Motor Vehicles (DMV), is an Order of Suspension or Revocation that outlines the status of an individual's driving rights following a legal judgment. The form is spit into two main parts: Part I is entrusted to the motorist when driving privileges are allowed to continue until the commencement of a suspension or revocation; Part 2 is a mandate to retain both sections as a condition for driving legally until the suspension or revocation takes effect. The form stipulates conditions under Section 1193 of the Vehicle and Traffic Law, detailing that a driver's license will be suspended or revoked—necessitating the handover of this order before a conditional license can be issued. Moreover, it addresses the requirements for probation or conditional discharge, including the compulsory installation of an Ignition Interlock Device for certain convictions, and underscores the necessity for license surrender upon suspension or revocation. Thus, the MV-1192 form is a pivotal document embodying the legal ramifications and subsequent procedural obligations for individuals navigating the aftermath of specific driving-related offenses in New York.

Question	Answer
Form Name	Form Mv 1192
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	form mv 1192, New_York, MV-1192, DMV

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New York State Department of Motor Vehicles

ORDER OF SUSPENSION OR REVOCATION

PART I - CONTINUATION OF DRIVING PRIVILEGES

•Always give Part 2 to the motorist.

•Give Part 1 to the motorist ONLY if you are granting continuation of driving privileges.

Motorist Name (Last. First. MI)

Date of Birth

Year License Expires

License Class Restrictions

According to Section 1193 of the Vehicle and Traffic Law, your driver license will be	suspended	revoked on		/		/

(sentence date plus 20 days)

This order will allow you to drive, with the same limitations as your driver license, until your suspension/ revocation starts. You must have both parts of this order with you when you drive. If you do not have both parts of this order with you, you may be charged with a violation of the Vehicle and Traffic Law. When the suspension/revocation starts, you do not have the right to drive unless you receive a conditional license. This order must be turned in before a conditional license can be issued to you.

MV-1192 (4/11)

(Signature of Judge or Clerk of Court)

New York State Department of Motor Vehicles

ORDER OF SUSPENSION OR REVOCATION

PART 2

Motorist Name (Last, First, MI)

Date of

Birth

Male

Female

Number and Street Address

Apt. #

Ticket Number (IF UNAVAILABLE, ENTER DOCKET NUMBER)

City

State

Zip Code

Driver License #

COURT/VIOLATION (Certificate of Conviction must be attached)

Judge Name

Violation Date

Conviction Date

Check if Youthful Offender

Court

Code

Vehicle Class (definitions are listed on the back of this form)

All Others

Commercial Motor Vehicle (DMV)

Special Vehicle

SUSPENSION/REVOCATION

According to Section 1193-2 of the Vehicle and Traffic Law, your driver license/privilege is:

Suspended for 90 days (conviction of 1192-1 first offense only if not operating a CMV or Special Vehicle).

Revoked for at least

Duration (Enter ONLY one of the options listed on the back of this form)

Sentence date

This order will be effective on

because of your conviction of a

(sentence date or sentence date plus 20 days)

violation of Subdivision

of Section 1192 of the Vehicle and Traffic Law.

PROBATION/CONDITIONAL DISCHARGE

A person convicted of a violation of VTL 1192(2-a)(a) or (b) committed on or after 12/18/09 must be sentenced to a conditional discharge or probation and the installation and use of the interlock device.

A person convicted of a violation of VTL 1192(2) or (3) committed on or after 11/18/09 and who s sentenced on or after 8/15/10 must be sentenced to a conditional discharge or probation and the installation and use of the interlock device.


Is motorist sentenced to:		Probation - If sentenced to probation, how long is the sentence?						3 years	5 years
		Conditional Discharge - If sentenced to conditional discharge, how long is the sentence?								1 year	3 years
Must the motorist obtain permission before applying for a license? Only applies if motorist is sentenced to probation.										Yes	No
If yes, do they need permission from:			Court	Probation Department			Both
Must the motorist Install an Ignition Interlock Device?					Yes	No

LICENSE SURRENDER - Has the motorist surrendered his/her license
Yes	No - If you have not turned in your driver license to the court, you must turn it in to the Department of Motor Vehicles.
		If you turn in a temporary license, you must also turn in your photo license when you receive it.

Motorist Signature

Signature of Judge or Clerk of Court

Copy 1: Motorist

MV-1192 (4/11)

How to Edit Form Mv 1192 Online for Free

With the online PDF editor by FormsPal, you'll be able to fill in or alter MV-1192 here and now. The editor is constantly maintained by us, receiving additional functions and growing to be better. To get the process started, take these basic steps:

Step 1: Click the "Get Form" button at the top of this page to open our PDF tool.

Step 2: The tool grants the ability to work with almost all PDF files in a range of ways. Modify it with personalized text, correct existing content, and include a signature - all when you need it!

This PDF form will need particular information to be filled in, therefore ensure you take your time to enter what is expected:

1. To start off, when completing the MV-1192, start out with the section that contains the next fields:

2. The subsequent part is usually to fill in all of the following fields: SUSPENSIONREVOCATION According to, Suspended for days conviction of, Revoked for at least, Sentence date, This order will be effective on, because of your conviction of a, sentence date or sentence date, Duration Enter ONLY one of the, violation of Subdivision, of Section of the Vehicle and, PROBATIONCONDITIONAL DISCHARGE A, A person convicted of a violation, Is motorist sentenced to, Probation If sentenced to, and years.

Regarding A person convicted of a violation and Revoked for at least, be certain that you review things here. These two are the key fields in this PDF.

Step 3: Ensure the information is correct and simply click "Done" to proceed further. Go for a 7-day free trial plan at FormsPal and obtain direct access to MV-1192 - download, email, or change from your FormsPal cabinet. Whenever you work with FormsPal, you'll be able to fill out documents without having to be concerned about personal information leaks or data entries being shared. Our secure system helps to ensure that your private information is stored safe.

Form Mv 1192 – Fill Out and Use This PDF

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