Alaska DUI Administrative Revocation Review Request
ALASKA DUI ADMINISTRATIVE REVOCATION REVIEW REQUEST
Before you use this: Under AS 28.15.166(b), make the written request within seven days after receiving the notice under AS 28.15.165. Confirm the delivery destination and method from the notice or the Division of Motor Vehicles. This request concerns the administrative license action; any criminal case proceeds separately.
Date: [__/__/____]
To: Alaska Division of Motor Vehicles, Administrative Review
Delivery address or method shown on the notice: [________________________________]
From: [FULL LEGAL NAME]
Mailing address: [________________________________]
Telephone: [________________] Email: [________________]
Driver's license number, if any: [________________________________]
Notice or case number: [________________________________]
Date I received the notice: [__/__/____]
Re: Written request for administrative review under AS 28.15.166(a)
I received a notice under AS 28.15.165 concerning my driver's license, driving privilege, or application for a license. I request administrative review of the department's action identified in that notice. Please send all review and hearing communications to the address and contact information above.
☐ I also request consideration of limited license privileges under AS 28.15.166(a), subject to the department's determination. Please advise what additional information is required.
☐ My physical driver's license has already been surrendered to the department.
☐ My physical driver's license has not yet been surrendered. I am arranging surrender with this request as required by AS 28.15.166(a).
Please confirm receipt of this written request and identify my administrative case number.
Signature: [________________________________] Date signed: [__/__/____]
Printed name: [________________________________]
Attachment: copy of the notice, if available.
DELIVERY RECORD — KEEP WITH YOUR COPY
Date and time sent or delivered: [________________________________]
Method and destination: [________________________________]
Proof of receipt or tracking number: [________________________________]
Source
About this template
- Last updated
- October 28, 2026
- Citations checked
- October 28, 2026
- Jurisdiction
- Alaska
- Category
- Criminal Law
Legal authority
- AS 28.15.165(a)
- AS 28.15.166(a)-(b)
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 28, 2026.
AS 28.15.165(a) (checked October 28, 2026): "the person has the right to administrative review of the action taken against the person's license or determination not to issue an original license"
AS 28.15.166(a) (checked October 28, 2026): "A person who has received a notice under AS 28.15.165(a) may make a written request for administrative review of the department's action under AS 28.15.165(c)"
AS 28.15.166(b) (checked October 28, 2026): "A request for review of the department's action under AS 28.15.165 shall be made within seven days after receipt of the notice under AS 28.15.165"
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