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Get WA DoL HRNG-525-001 2015

Authority RCW 46. 20. 308 HRNG-525-001 R/8/15 WA We are committed to providing equal access to our services. 101. 010 and want the hearing fee waived use form HRNG-525-010 Application for DUI Indigent Waiver available at our website at www. Click here to START or CLEAR then hit the TAB button Request for DUI Hearing This is your notice that the Department of Licensing DOL intends to suspend revoke or deny your license permit or privilege to drive. You have the right to request a formal hearing to contest the suspension or revocation of your driving privilege. The hearing will be conducted according to Chapter 308-103 WAC. For issues covered at the hearing refer to RCW 46. 20. 308. A non-refundable fee of 375 must be included with your request unless you are determined to be indigent see Indigent Requests below. Your request must be postmarked within 20 days of the date of arrest or within 20 days of the date the notice was given* If your request is not made within this time frame you will have waived your right to a hearing. Send this completed form with a check or money order payable to Department of Licensing to Hearings Interviews Department of Licensing PO Box 9048 Olympia WA 98507-9048 If you have a Washington State driver license and a valid MasterCard Visa or American Express credit card you may apply for a hearing online. Visit our website at www. dol*wa*gov for more information* Indigent Requests If you are applying as indigent defined in RCW 10. dol*wa*gov* All correspondence will be mailed to the address on file with DOL* To update your address visit us online at www. dol*wa*gov or go to your local licensing office. PRINT or TYPE Name Last First Middle Date of birth Email Driver license number Area code Telephone number State Date of arrest Attorney name if applicable Do not list public defender Attorney address Address City State ZIP code Area code Attorney telephone number Attorney email If parties or witnesses are non-English speaking a qualified interpreter will be appointed at no cost to you. Complete the following information if you need an interpreter. Request for interpreter I need an interpreter Primary language Dialect I am hearing impaired Any valid license in your possession is only valid for 60 days from the date of this arrest the expiration date noted on the license or until the Department s action is upheld at a hearing whichever occurs first. Click here to START or CLEAR then hit the TAB button Request for DUI Hearing This is your notice that the Department of Licensing DOL intends to suspend revoke or deny your license permit or privilege to drive. You have the right to request a formal hearing to contest the suspension or revocation of your driving privilege. You have the right to request a formal hearing to contest the suspension or revocation of your driving privilege. The hearing will be conducted according to Chapter 308-103 WAC. For issues covered at the hearing refer to RCW 46. The hearing will be conducted according to Chapter 308-103 WAC. For issues covered at the hearing refer to RCW 46. 20. 308. A non-refundable fee of 375 must be included with your request unless you are determined to be indigent see Indigent Requests below. .

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