North Dakota DUI Administrative Hearing Request
NORTH DAKOTA DUI ADMINISTRATIVE HEARING REQUEST
Before sending: Under N.D.C.C. § 39-20-05(1), mail this request or use another method the Director authorizes within 10 days after the temporary operator's permit was issued. The Department of Transportation also offers an online administrative hearing request. Use the mailing or electronic destination identified on your permit or current Department instructions. This request concerns driving privileges; it does not respond to a criminal DUI charge.
Date: [__/__/____]
To: Director, North Dakota Department of Transportation, Driver License Division
Mailing or other authorized destination shown on the permit or Department instructions: [________________________________]
From: [FULL LEGAL NAME]
Mailing address: [________________________________]
Phone / email: [________________________________]
Driver license number or other permit identifier: [________________________________]
Temporary operator's permit issuance date: [__/__/____]
Date and place of the incident: [__/__/____]; [COUNTY / CITY]
Request for hearing
I request an administrative hearing under N.D.C.C. § 39-20-05 concerning the proposed action against my driving privileges identified in the temporary operator's permit above.
Basis identified on the permit or notice:
☐ Chemical-test result.
☐ Alleged refusal to submit to a test.
☐ I cannot determine the stated basis from the notice; please identify it in the hearing notice.
Please confirm receipt of this request and send the hearing date, access instructions, and information about obtaining the agency record to my mailing address above. My representative, if any, is [NAME AND CONTACT INFORMATION].
Attachments: ☐ Copy of temporary operator's permit ☐ Notice or test-result letter ☐ Other: [DOCUMENT]
Signature: ______________________________ Date: [__/__/____]
Printed name: [________________________________]
Delivery record — keep with your copy
Method authorized by the Director: [________________________________]
Date mailed or transmitted: [__/__/____]
Mail receipt, tracking number, or electronic confirmation: [________________________________]
Keep the permit, this signed request, and proof of timely mailing or authorized transmission.
Official sources
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) (administrative hearing request)
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): "Before issuing an order of suspension, revocation, or denial under section 39-20-04 or 39-20-04.1, 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."
North Dakota Department of Transportation, Driver Record Services and Suspensions (checked October 27, 2026): "You can request an administrative hearing in writing or by submitting an Online Administrative Hearing Request."
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