Chemical Test Refusal License Revocation Hearing Request - South Dakota
CHEMICAL TEST REFUSAL LICENSE REVOCATION HEARING REQUEST
South Dakota — SDCL § 32-23-11
Use this request if you are facing license revocation for an alleged refusal to submit to the withdrawal and chemical analysis described in SDCL § 32-23-18. The request to contest that revocation is due within 120 days of arrest under § 32-23-11. Use the delivery address and instructions on your notice, and keep a copy and proof of delivery.
Date: [__/__/____]
To: Secretary of Public Safety, South Dakota Department of Public Safety
Address or delivery channel stated in notice: [________________________________]
From: [FULL LEGAL NAME]
Mailing address: [STREET, CITY, STATE, ZIP]
Telephone: [PHONE]
Email: [EMAIL]
Driver license number: [NUMBER]
Date of birth: [__/__/____]
Arrest date: [__/__/____]
Notice or case number, if any: [NUMBER]
Request
I request a hearing under SDCL § 32-23-11 to contest the proposed revocation of my license or driving privilege based on an alleged refusal to submit to chemical analysis. Please send me written notice of the hearing date, time, location or remote appearance instructions, and any procedure for submitting evidence or identifying witnesses.
I dispute the proposed revocation for these reasons (state only facts you can support; attach additional pages if needed):
[____________________________________________________________]
[____________________________________________________________]
Please send notices and decisions to the mailing address above and, if permitted, to my email address. I will update the department promptly if my contact information changes.
Signature: [SIGNATURE]
Printed name: [FULL LEGAL NAME]
Date signed: [__/__/____]
Enclosures, if any: [COPY OF NOTICE / SUPPORTING RECORDS / OTHER]
About this template
- Last updated
- October 27, 2026
- Citations checked
- October 27, 2026
- Jurisdiction
- South Dakota
- Category
- Criminal Law
Legal authority
- SDCL § 32-23-11
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.
SDCL § 32-23-11 (checked October 27, 2026): "Any person subject to license revocation for failure to submit to the withdrawal and chemical analysis pursuant to § 32-23-18 who wants to contest the revocation, shall request a hearing, pursuant to chapter 1-26, within one hundred twenty days of arrest."
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