SP75 (10/2014)
555 Wright Way
Carson City, NV 89711
Reno/Sparks/Carson City (775) 684-4850
Las Vegas Area (702) 486-8696
dmvnv.com
LICENSE PLATE HEARING REQUEST
The Office of Administrative Hearings has three locations and can be reached at the numbers listed
below or Toll Free at (800) 992-0900.
Carson City Elko
555 Wright Way 3920 E. Idaho Street
Carson City, NV 89711 Elko, NV 89801
(775) 684-4574
Las Vegas
2621 E. Sahara Avenue
Las Vegas, NV 89104
(702) 486
-4940
(775) 753-1239
If you believe your plate does not fall under NAC 482.320, you may request a hearing for a denial or
recall of a personalized or specialty license plate by submitting this completed form to a DMV office or
fax it to Central Services and Records Division, Alternate Services, Special Plates at (775) 684-4797
PLEA
SE TYPE OR PRINT
I, ______________________________________________________________________________________________
(Applicant’s Name)
request a hearing regarding the denial or recall of:
License Plate Number ____________________
Date of denial or recall ___________________
I applied for these license plates at _________________________________________________
(DMV Office if known)
I have these plates in my possession: Yes No
State reason for hearing request:
Printed Full Legal Name of Applicant
Last First Middle
Nevada Driver’s License, Identification Card Number,
Date of Birth, or FEIN for a business
Physical Address
Address City State Zip
Mailing Address
Address City State Zip
Telephone Numbers:
Day
Applicant’s Signature
Date