Timothy Gomes and
Associates

BEFORE THE DEPARTMENT OF MOTOR VEHICLES

OF THE STATE OF CALIFORNIA

YOUR NAME:____________________________________

DRIVER LICENSE NO._________________________

_________________________________________________/

I was arrested for drunk driving (Veh. C.§§ §§§23140, 23152, 23153 or an equivalent offense)

on (date): _______________in the State of California at (location of arrest):______________________.

I hereby demand a D.M.V. hearing in accordance with the provisions of Veh. C. 13558, to be held, and a decision to be reached, before the effective date of the suspension or revocation. If you are unable to hold the hearing and reach a decision within the time limit, I demand a stay of the action pending the hearing and the decision. However, I do not waive my right to have a hearing held and decision reached within 30 days of the date of my arrest. (NOTICE Vehicle Code 13353.3, 13558 and 40000.1, make it an infraction to fail to hold my hearing and decide it within 30 days of my arrest and service of the notice of suspension herein, unless the hearing date is continued with good cause or held later with my consent.) Additionally, I demand discovery under Gov. C. 11507.6. I object to conducting all or part of the hearing by telephone, television or other electronic means, but may be willing to agree to that later.__ (Check if applicable) no ingles.  I will ask for interpreter at the hearing who speaks___________________. At this time, I am representing myself in this matter, but I expect to hire an attorney soon and when I do you’ll be informed of that.

Date:_______________________               _______________________________

Signature

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