ATTORNEY OR PARTY WITHOUT ATTORNEY (Name & Address): FOR COURT USE ONLY Telephone No.: E-Mail Address (Optional): ATTORNEY FOR (Name): Fax No. (Optional): Bar No: SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE CENTRAL JUSTICE CENTER: 700 Civic Center Dr. West, Santa Ana, CA 92701 PETITIONER: RESPONDENT: Director of the Department of Motor Vehicles PETITION FOR ALTERNATIVE WRIT OF MANDATE CCP § 1094.5 AND VEHICLE CODE § 13559 TO SET ASIDE SUSPENSION OF DRIVING PRIVILEGE - DUI STAY REQUESTED Unlimited Civil Mark all 1. boxes that apply CASE NUMBER: Petitioner (full name), is a resident of the County of Orange, State of California at the time this Petition is filed. , 2. Respondent, Director of the Department of Motor Vehicles, is the Chief Executive Officer of the Department of Motor Vehicles, a government agency of the State of California, hereafter referred to as "the DMV". On (date) , per Vehicle Code 13382(a) and/or 23612(e), the arresting officer served the petitioner with an Administrative Per Se Order of Suspension/Revocation Temporary License Endorsement, a copy of which is attached to this petition. Prior to the suspension of petitioner's driver's license, petitioner was the holder of a valid California driver's issued by the DMV. license number On (date) detained by a Peace Officer of the California Highway Patrol. Police Department. County Sheriff's Department. Other (describe) and, after arrest for violation of Vehicle Code § 23152 or 23153, was administered a chemical test for blood alcohol concentration. not administered a chemical test for blood alcohol concentration. . , in the County of Orange, State of California, petitioner was 3. 4. 5. Page 1 of 3 Approved for Optional Use L-0115 (Rev. July 1, 2008) PETITION FOR ALTERNATIVE WRIT OF MANDATE CCP § 1094.5 AND VEHICLE CODE § 13559 TO SET ASIDE SUSPENSION OF DRIVING PRIVILEGE ­ DUI CCP 1094.5(g) American LegalNet, Inc. www.FormsWorkflow.com PETITIONER: RESPONDENT: Director of the Department of Motor Vehicles 6. CASE NUMBER: Per Vehicle Code § 13380, the Officer then filed a sworn statement (Form DS-367) with the DMV stating that there was reasonable cause to believe petitioner had been driving a motor vehicle in violation of Vehicle Code § 23152 or 23153, the petitioner was arrested and petitioner took a chemical test with a result of did not take or complete a chemical test. % and % blood alcohol concentration. 7. 8. A copy of the Officer's DS-367 Statement ­ Vehicle Code §§ 23152 and 13352 is attached to this petition. On (date) granted and held on (date) , petitioner requested an administrative hearing. The hearing was . 9. A certified copy of the transcript of the administrative hearing has been ordered from the DMV and has been lodged with the Court. will be lodged with the Court as soon as it is received by petitioner. 10. On (date) , the DMV issued an Order of Suspension which stated that petitioner's privilege to drive a motor vehicle was suspended for year(s), from (date) through (date) . The suspension was under the authority of Vehicle Code § 13353.3. A copy of the Order of Suspension is attached to this petition. This petition is further based on the following evidence and matters from the record of the administrative hearing [attach additional pages if necessary]. 11. 12. Petitioner is beneficially interested in this action because petitioner is a party directly affected by the action of Respondent in suspending his or her privilege to operate a motor vehicle. Page 2 of 3 Approved for Optional Use L-0115 (Rev. July 1, 2008) PETITION FOR ALTERNATIVE WRIT OF MANDATE CCP § 1094.5 AND VEHICLE CODE § 13559 TO SET ASIDE SUSPENSION OF DRIVING PRIVILEGE ­ DUI CCP 1094.5(g) American LegalNet, Inc. www.FormsWorkflow.com PETITIONER: RESPONDENT: Director of the Department of Motor Vehicles 13. Petitioner needs his or her license CASE NUMBER: to drive to and from and in connection with his or her employment, as well as personal needs. to engage in business for his or her livelihood. Unless the Order of the DMV is stayed, he or she will suffer irreparable damage and injury. 14. As required by California Rule of Court, rule 3.1142, a copy of petitioner's driving record from the DMV is attached to this petition. Petitioner does not have a speedy and adequate remedy at law because there is no appeal from respondent's order suspending the privilege to operate a motor vehicle. Petitioner's only method of review of that order is by writ of mandate in this Court. Petitioner's privilege to operate a motor vehicle is not suspended or revoked for any reason other than those stated in this petition. 15. 16. Petitioner prays that: 1. An alternative writ of mandate issue under the seal of the Court commanding respondent Director of the DMV to set aside and revoke the DMV's suspension of petitioner's driving privilege or to show cause before the Court at a time and place to be specified by the Court why it has not done so, and why a peremptory writ should not issue. Pending the hearing and final judgment of the Court in this matter, the DMV be ordered to stay the operation of the order suspending Petitioner's driving privilege. Other (Describe): For such and further relief as the Court may deem proper. 2. 3. 4. Dated: (Type or Print Name) VERIFICATION STATE OF CALIFORNIA) COUNTY OF ORANGE) ss. (Signature of Petitioner) I, the undersigned, declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on (date) at , California. (Signature of Petitioner) Page 3 of 3 Approved for Optional Use L-0115 (Rev. July 1, 2008) PETITION FOR ALTERNATIVE WRIT OF MANDATE CCP § 1094.5 AND VEHICLE CODE § 13559 TO SET ASIDE SUSPENSION OF DRIVING PRIVILEGE ­ DUI CCP 1094.5(g) American LegalNet, Inc. www.FormsWorkflow.com