FORM DC-280 MASTER 07/19 PETITION AND ORDER TO SUSPEND DRIVER222S LICENSE 226 Case No. ...................................................................... FAILURE TO PAY CHILD SUPPORT DCSE Case No. ....................................................... Commonwealth of Virginia VA. CODE 247 46.2-320.1 HEARING DATE: .......................................................................................... .......................................................................................... .......................................................................................................................................................................................................................................................................... Court ......................................................................................................................................................................................................................................................................................... ADDRESS OF COURT Department of Social Services .................................................................. v. ................................................................................................................................ PETITIONER RESPONDENT/OBILGOR ................................................................................................................................... ................................................................................................................................ ADDRESS ADDRESS ................................................................................................................................... ................................................................................................................................ ................................................................................................................................... ................................................................................................................................ CASE MANAGER SSN ................................................................................................................................... ................................................................................................................................ TELEPHONE NUMBER VIRGINIA DRIVER222S LICENSE NUMBER (IF DIFFERENT FROM SSN) Petitioner respectfully requests that this court find that the respondent (i) is delinquent in the payment of child support by 90 days or more, or in the amount of $5,000 or more, and that this delinquency constitutes willful non-compliance with the order of support identified below or (ii) has failed to comply with a subpoena, summons or warrant relating to paternity or child support proceedings. Petitioner respectfully requests this court to authorize the suspension or refusal to renew of respondent222s Virginia driver222s license pursuant to Virginia Code 247 46.2-320.1. ................................................................................................................................... ................................................................................................................................ NAME OF OBLIGEE COURT ISSUING SUPPORT ORDER ................................................................................................................................... ................................................................................................................................ DATE ORDER ENTERED DATE OF LAST SUPPORT PAYMENT ................................................................................................................................... ............................................................................... Per [ ] week [ ] month AMOUNT OF ARREARAGE AMOUNT OF PERIODIC SUPPORT PAYMENT .......................................................................... DATE PETITIONER ORDER [ ] The court finds that the obligor is delinquent in the payment of child support by 90 days or more, or in an amount of $5,000 or more, and that obligor222s noncompliance with the child support order was willful or that petitioner has failed to comply with a subpoena, summons or warrant relating to paternity or child support proceedings. Therefore, the court grants the petition to authorize the suspension or refusal to renew of the respondent222s driver222s license until such time as respondent has either (i) paid the delinquency in full, (ii) reached an agreement with petitioner to pay such delinquency within a period not to exceed 10 years and has made at least one payment, representing at least five percent of the total delinquency or $600, whichever is less, (iii)complied with the subpoena, summons or warrant, or (iv) completed or is successfully participating in an intensive casemonitoring program for child support as ordered by a juvenile and domestic relations district court or as administered by theDepartment of Social Services. Petitioner shall notify the Department of Motor Vehicles if the respondent satisfies suchrequirement. The Department of Motor Vehicles shall restore respondent222s driving privilege upon receipt of said notice frompetitioner. [ ] Petition denied. .......................................................................... DATE JUDGE American LegalNet, Inc. www.FormsWorkFlow.com