Administrative Driving Privileges Hearing Request - North Dakota
ADMINISTRATIVE DRIVING PRIVILEGES HEARING REQUEST
North Dakota — N.D.C.C. § 39-20-05
Send this request to the director at the address on your temporary operator's permit or notice. Under § 39-20-05(1), the request must be mailed or communicated by another means the director authorizes within 10 days after the temporary permit's issue date. Keep a copy and evidence of timely mailing or authorized delivery.
If your case involves alleged test refusal, a separate affidavit and plea route under § 39-20-04(2) is available only if no administrative hearing is held and its other conditions are met. Consider that choice before sending this request.
Date: [__/__/____]
To: Director, North Dakota driver licensing authority
Mailing address or authorized delivery channel on permit/notice: [________________________________]
From: [FULL LEGAL NAME]
Mailing address: [STREET, CITY, STATE, ZIP]
Telephone: [PHONE]
Email: [EMAIL]
Driver license number: [NUMBER]
Date of birth: [__/__/____]
Temporary operator's permit issue date: [__/__/____]
Arrest date: [__/__/____]
Permit or case number, if any: [NUMBER]
Request
I request an administrative hearing under N.D.C.C. § 39-20-05 before any order suspending, revoking, or denying my driving privileges under § 39-20-04 or § 39-20-04.1. Please send me notice of the hearing and instructions for submitting records, identifying witnesses, and participating.
The action described in my temporary permit or notice concerns: ☐ a chemical test result ☐ an alleged refusal ☐ another ground stated in the notice: [GROUND].
My brief statement of the disputed facts or issues is:
[____________________________________________________________]
[____________________________________________________________]
Please use the mailing address above for all notices. I will update the director promptly if it changes.
Signature: [SIGNATURE]
Printed name: [FULL LEGAL NAME]
Date signed: [__/__/____]
Enclosures, if any: [COPY OF PERMIT / NOTICE / SUPPORTING RECORDS / OTHER]
About this template
- Last updated
- October 27, 2026
- Citations checked
- October 27, 2026
- Jurisdiction
- North Dakota
- Category
- Criminal Law
Legal authority
- N.D.C.C. § 39-20-05(1)
- N.D.C.C. § 39-20-04(2)
Criminal law paperwork covers every stage of a criminal case, from the first appearance and bail motion through pretrial motions, plea agreements, sentencing, and appeals. Deadlines in criminal cases are short and often unforgiving, and constitutional rights can be waived just by missing a filing. Using the right motion at the right time can mean the difference between evidence getting suppressed, charges getting reduced, or a case getting dismissed entirely.
Not legal advice
This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
A reviewer verified this template's legal citations against the official source on October 27, 2026.
N.D.C.C. § 39-20-05(1) (checked October 27, 2026): "the director shall afford that person an opportunity for a hearing if the person mails or communicates by other means authorized by the director a request for the hearing to the director within ten days after the date of issuance of the temporary operator's permit."
N.D.C.C. § 39-20-04(2)(a) (checked October 27, 2026): "An administrative hearing is not held under section 39-20-05;"
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