Approved for Optional Use
L-0203 (Rev. July 1, 2008)
PETITION FOR ALTERNATIVE WRIT OF MANDATE
CCP § 1094.5 TO SET ASIDE SUSPENSION OR
REVOCATION OF LICENSE – NON DUI
CCP 1094.5(g)
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name & Address):
Telephone No.: Fax No. (Optional):
E-Mail Address (Optional):
ATTORNEY FOR (Name): Bar No:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE
CENTRAL JUSTICE CENTER:
700 Civic Center Dr. West, Santa Ana, CA 92701
PETITIONER:
RESPONDENT: Director of the Department of Motor Vehicles
FOR COURT USE ONLY
PETITION FOR ALTERNATIVE WRIT OF MANDATE
CCP § 1094.5 TO SET ASIDE SUSPENSION OR
REVOCATION OF LICENSE – NON DUI
STAY REQUESTED
Unlimited Civil
CASE NUMBER:
Mark all
boxes that apply
1. Petitioner (full name),
,
is a resident of the County of Orange, State of California at the time this petition is filed.
2. Respondent, Director of the Department of Motor Vehicles, is the Chief Executive Officer of the Department
of Motor Vehicles, a government agency of the State of California, hereafter referred to as “the DMV”.
3. At all times prior to the suspension or revocation of petitioner’s license, petitioner was the holder of a valid
California
driver’s license, license number
vehicle sales person license, license number (if any)
other license (describe and provide license number, if any)
issued by the DMV.
4. On (date)
, an administrative hearing was held. A certified copy of the
transcript of the administrative hearing has been ordered from the DMV and
has been lodged with the Court.
will be lodged with the Court as soon as it is received by petitioner.
No administrative hearing was held.
5. On (date)
, the DMV issued an Order of Suspension or Revocation of
petitioner’s license. A copy of the DMV’s Order is attached to this Petition.
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