555 Wright Way
Carson City, NV 89711
Reno/Sparks/Carson City (775) 684-4850
Las Vegas Area (702) 486-8696
dmvnv.com
NVL005 (Revised 10/2014)
NEVADA LIVE HEARING REQUEST
You may request a hearing for a vehicle registration suspension caused by a lack or lapse of Nevada liability insurance.
Submit this completed form by fax to the Central Services and Records Division, NV LIVE at (775) 684-4543.
When requesting a hearing you must provide current Nevada evidence of liability insurance, a Nevada license plate
number, and vehicle identification number (VIN).
A hearing will not be granted:
• If denied a reduction in the reinstatement fee/fine or to challenge the granting of a waiver for reduction of fee/fine.
• To request additional time in order to pay your fee/fine.
• To dispute with an insurance company regarding lapse or lack of insurance.
To be considered for a NV LIVE hearing; the hearing request must be sent to the Department within 30 days from which
time that the Department sent the Notice of Suspension pursuant to NRS 485.317.
PLEA
SE TYPE OR PRINT
I, _______________________________________________________________________________________________
(
Registered Owner’s Name)
request an administrative hearing regarding the suspension on my vehicle registration:
Lic
ense Plate Number ____________________ Year __________ Make _____________________
Veh
icle Identification Number _________________________________________________________________________
If you are requesting a hearing on multiple vehicles, please list the license plate numbers and vehicle identification
numbers below.
St
ate reason for hearing request:
Printed Full Legal Name of Registered Owner
NVDL or ID#, Date of Birth or FEIN if a Business
Registered Owner’s Signature
If
you have legal representation, please provide the name of your legal representative ____________________________
and their Telephone Number ____________________
The O
ffice of Administrative Hearings has three locations and can be reached at the numbers listed below.
Carson City Las Vegas Elko
555 Wright Way 2701 E. Sahara Avenue 3920 E. Idaho Street
Carson City, NV 89711 Las Vegas, NV 89104 Elko, NV 89801
(775) 684-4574 (702) 486-4940 (775) 753-1239
