Loading
Form preview picture

Get NY AA-137W 2017-2024

Y) / / Motorist s Address Male City State Zip Code Female NYS Driver License/ID Number If you wish to waive your right to a hearing for a chemical test refusal, please fill out this waiver form and mail or fax it to the above address as soon as you receive this notice. The effective date of your revocation will be the date your waiver is received by the Division of Safety and Business Hearings (fax or postmark). In some cases this will make it possible to serve a period of suspension/.

How It Works

postmark rating
4.8Satisfied
42 votes
Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Payable FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to NY AA-137W

  • motorists
  • installments
  • postmark
  • gov
  • Motorist
  • Subdivision
  • payable
  • impaired
  • waiver
  • ny
  • intoxicated
  • Learner
  • revoked
  • refusal
  • hearings
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.