Form Mv 1193 – Fill Out and Use This PDF

Form MV 1193 is an important document that can provide essential information to individuals and organizations alike. It is integral in providing records related to motor vehicle ownership and title, such as information regarding registrations, titles, and transfers. Additionally, changes to the car’s owner or records can be updated with Form MV 1193. This document also makes changes relating to lienholders easier, but it may not always be necessary. Individuals or companies in charge of keeping motor vehicle records rely heavily upon this form in order to ensure the accuracy of all registered vehicles and any accompanying documents. Therefore by having access to Form Inter MV 1193, significant time and resources are saved for everyone involved with administrative tasks concerning car and driver specifics.

Form Mv 1193 PDF Details

Mv 1193 is a form used to request a verification of unemployment benefits from the state. The form can be used by individuals who have been laid off, or those who have quit their job without good cause. The purpose of the form is to ensure that individuals are only receiving benefits for which they are eligible. In order to complete the form, you will need to provide your name, Social Security number, and date of birth. You will also need to provide information about your employment history, including the dates you worked and your employer's contact information. Finally, you will need to declare whether you are currently receiving benefits or not. If you are not currently receiving benefits, you will need to provide an explanation as to why you are no longer collecting them. Completed forms should be sent to your local unemployment office.

Question	Answer
Form Name	Form Mv 1193
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	declaration of hardship nys, ny hardship, order hardship, rent hardship form in new york state

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New York- State Department of Motor Vehicles

ORDER OF SUSPENSION PENDING PROSECUTION

HARDSHIP PRIVILEGE

PART 1 - HARDSHIP PRIVILEGE

Motorist Name

PLEASE Print

Date of Birth

Yr. Lic. Expires

Lic. Class

Restrictions

/ /

YOUR EMPLOYER AND/OR SCHOOL YOU ATTEND

Name

Address (No. and Street, City or Town, State and ZIP Code)

Name

Address (No. and Street, City or Town, State and ZIP Code)

Name

Address (No. and Street, City or Town, State and ZIP Code)

Under the authority of Section 1193 of the Vehicle and Traffic Law, your license is suspended immediately. This order will allow you to drive to or from work, to or from medical treatment (for yourself or a member of your immediate household), or if you are a student enrolled in a school, college or university, you may drive to and from school if such travel is necessary for the completion of your degree or certificate. You must have both parts of this order with you when you drive.

REASON FOR GRANTING HARDSHIP PRIVILEGE (this privilege is not valid unless this part is completed by the Court):

This hardship privilege is not valid: if you are convicted; if you do not have a valid driver license; if your license is revoked or suspended after this order is issued; or if your license is expired more than two years.

Date

MV-1193 (10/02)	(Judge's Signature)

New York State Department of Motor Vehicles

ORDER OF SUSPENSION PENDING PROSECUTION.

PLEASE Print

PART 2

Motorist			Date of
Name			Birth	/	/	Male	Female
Address	Apt. No.	TSLE&D Ticket Number				Violation Date
(Number & Street)		(or Docket Number)				/	/
City		State	Zip Code		Police NCIC/ORI Number

Under the authority of Section 1193 of the Vehicle and Traffic Law, your license is suspended immediately, pending prosecution for a charge of violating Section:

II92-1

1192-2

1192-3

1192-4 of the New York State Vehicle and Traffic Law.

You have been convicted of violating a subdivision of Section 1192 of the V&T Law within the past five years, or you are charged with a felony under Article 120 or 125 of the New York State Penal Law. (You are not eligible for a hardship privilege or conditional license under these

circumstances.)

You are alleged to have had . 08 of one percent or more by weight of alcohol in your blood, as shown by chemical analysis of blood, breath, urine or

saliva according to Section 1194 of the V&T Law. (If this box is chocked,E you may be eligible for a conditional license after 30 days.

The Department of Motor Vehicles will notify you of your eligibility.)

You have a DJ/MJ license/permit and are charged with violating subdivisions 1, 2 or 3 of Section 11 92 of the Vehicle and Traffic Law. You may be eligible for a conditional license after 30 days. The Department of Motor Vehicles will notify you of your eligibility

Court			Court		Effective Date
			Code		of Suspension	/
					/	/
Judge's					Justice
					Justice
Name					Code

COMPLIANCE - Has motorist turned in photo license and any permits to the court?
	Yes - photo license attached	No
	Yes - photo license attached	No
	Yes - permit(s) attached
	Yes - permit(s) attached

Motorist				Signature of Judge
Signature				or Clerk of Court

Note to Court Clerk: Send the ''DMV'' copy of this MV-1193 to your designated data entry site.

DMV OFFICE USE ONLY

LICENSE:

Suspended

EFFECTIVE DATE:

HARDSHIP PRIVILEGE: Yes No	COMPLIANCE:	Yes No

MV-1193 (10102)

CUSTOMER

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Form Mv 1193 – Fill Out and Use This PDF

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