OPERATOR'S PETITION FOR COURT
REVIEW OF RMV LICENSE SUSPENSION
FOR CHEMICAL TEST REFUSAL
CIVIL DOCKET NO. (court use only)
Trial Court of Massachusetts
District Court Department
This petition for review may be filed in the appropriate District Court division only after the operator has appeared at the RMV for a license
suspension hearing and the RMV has issued a decision. It must be filed within 30 days after issuance of the Registrar’s final determination (G.L.
c.90,§24[1][g]), along with a filing fee of $195 (G.L. c.262,§§ 2, 4C) unless waived for indigency (G.L. c.261,§§ 27A-29). The statute requires that
the Court’s review be limited to“the record established at the hearing before the registrar”(§24[1][g]) and therefore the operator may not introduce
additional evidence before the Court.
Pursuant to G.L. c. 90,§24(1)(g), I request court review of the decision of the Registrar of Motor Vehicles upholding the suspension
of my license, permit or right to operate a motor vehicle under G.L. c. 90,§ 24(1)(f)(1) based on my alleged refusal to submit to a
chemical test or analysis of my breath or blood at the time of my arrest for operating a motor vehicle while under the influence of
intoxicating liquor.
This proceeding is civil in nature and is not part of the underlying criminal OUI case. Please review that the petitioner has provided all the
information required above and then complete this portion of this form. Fax a photocopy of this form immediately to the Registry of Motor
Vehicles Suspension Department at (857) 368-0019. By way of appearance and answer, the RMV will forward copies of the RMV hearing record
to the court and to the operator within 15 days. A judge must then review this petition“as soon as possible”and no later than 30 days after the
petition is filed (G.L. c.90§24[1][g]). RMV questions may be directed to (857) 368-8207
FOR COURT CLERK'S USE ONLY
DATE & TIME OF SCHEDULED COURT REVIEW (within 30 days from filing of petition)
DATE FAXED TO RMV (keep FAX confirmation in file)
COURT EMPLOYEE'S PHONE NO. & EXTENSION
(To be completed by Judge after court review)
This Court’s review is limited to“the record established at the hearing before the registrar”(G.L. c.90,§24[1][g]). The Registrar has
relied on the submission of that hearing record, including the hearing officer’s decision, for its appearance and answer in this matter.
After review of that hearing record, I find as follows:
The Registry exceeded its constitutional or statutory authority. (If yes, see specific findings below.)
The Registry made an erroneous interpretation of the law. (If yes, see specific findings below.)
The Registry acted in an arbitrary and capricious manner. (If yes, see specific findings below.)
The Registry made a determination which is unsupported by the evidence in the record. (If yes, see specific
findings below.)
Accordingly, it is ORDERED that judgment shall enter:
the Registrar's determination:
DISMISSING the petition for review because it was not timely filed.
DISMISSING the petition for review because the petitioner failed to appear,
the Registry’s hearing record serving as its appearance and answer.
CLERK-MAGISTRATE: Please FAX the result of the judicial review to the RMV immediately at (857) 368-0019
http://www.mass.gov/courts/courtsandjudges/courts/districtcourt/forms.html
