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Department of Transportation
North Dakota
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Administrative Hearing Request Form
Please fill out the form below to request an administrative hearing. To receive a response to your message, please provide us with your email address.
If you do not receive a response to your hearing request within TWO business days, you must contract the Drivers License Division immediately at 701-328-2600.
*First Name:
*Last Name:
*Email Address:
(ex. email@example.com)
Secondary Email Address:
(ex. email@example.com)
*Date of Birth:
*Drivers License Number:
Attorney Name:
Attorney Phone Number:
*Reason for Request:
* Indicates a Required Field