Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Petition For Judicial Review Of Order Of DMV Form. This is a Oregon form and can be use in Uniform Trial Court Statewide.
Loading PDF...
Tags: Petition For Judicial Review Of Order Of DMV, 10.010.a, Oregon Statewide, Uniform Trial Court
CIRCUIT COURT OF THE STATE OF OREGON
FOR THE COUNTY OF
In the Matter of the Suspension
of the Driving Privileges of
.
,
Petitioner
v.
Driver and Motor Vehicle Services Branch of the
Oregon Department of Transportation (DMV),
Respondent.
)
)
)
)
)
)
)
)
)
)
)
)
PETITION FOR JUDICIAL
REVIEW
DMV No.
Circuit Court
Case No.
PETITION FOR JUDICIAL REVIEW OF ORDER OF DMV
Petition seeks judicial review of the final order of suspension of driving privileges entered by the Hearings Officer of
, date
.
the DMV in case number
Parties to this review are:
(set out petitioner's full name and address)
And,
Driver and Motor Vehicle Services Branch of the Oregon Department of Transportation (DMV)
The Order of the DMV should be vacated because evidence in the record fails to substantially support the
Hearings Officer's finding that the following requirements were met (check those items that apply):
(a) The petitioner, at the time the petitioner was requested to submit to a test under ORS 813.100, was under
arrest for driving while under the influence of intoxicants in violation of ORS 813.010 or a municipal
ordinance.
(b) The police officer had reasonable grounds to believe, at the time the request was made, that the petitioner
had been driving under the influence of intoxicants in violation of ORS 813.010 or a municipal ordinance.
Page 1 - Form 10.010.a – PETITION FOR JUDICIAL REVIEW OF ORDER OF DMV – UTCR 10.010
(Rev. 8-1-02)
TCG-5-F1
UTCR App. Page 31
American LegalNet, Inc.
www.USCourtForms.com
(c) The petitioner refused to test under ORS 813.100 or took the test and the test disclosed that the level of
alcohol in the petitioner's blood was sufficient to constitute being under the influence of intoxicating liquor
under ORS 813.300.
(d) The petitioner had been informed under ORS 813.100 of the rights and consequences as described under
ORS 813.100.
(e) The petitioner was given written notice required under ORS 813.100.
(f) If the petitioner submitted to the test, the person administering the test was qualified to administer the test
under ORS 813.160.
(g) If the petitioner submitted to the test, the methods, procedures and equipment used in the test complied with
requirements under ORS 813.160.
(h) Other:
Dated this
day of
, 20
.
Set out name, OSB number (attorneys only),
address and telephone number
( ) Petitioner
( ) Attorney for Petitioner
(Please check one of the above)
Page 2 - Form 10.010.a – PETITION FOR JUDICIAL REVIEW OF ORDER OF DMV – UTCR 10.010
(Rev. 8-1-02)
TCG-5-F1
UTCR App. Page 32
American LegalNet, Inc.
www.USCourtForms.com
