FAM_MotiontoContestDriversLicenseSuspensionRevocation_20210726_WEB Page 1 of 2
IN THE CIRCUIT COURT OF THE FIFTH JUDICIAL CIRCUIT
IN AND FOR MARION COUNTY, FLORIDA
Case Number:
________________
Petitioner,
vs.
Respondent
MOTION TO CONTEST DRIVERS LICENSE SUSPENSION/REVOCATION
1.
On or about , I received a letter from the
Department of Revenue
(DOR) or Clerk of Court stating that my license and registration would be/has been
suspended or revoked.
2.
I do not want my license and registration suspended or revoked because: (State why you
could not pay support, why you need your license, and any other reason your license
should not be suspended or revoked)
WHEREFORE,
I request an order preventing the suspension of my license and registration
or reinstating my license and registration.
CERTIFICATE OF SERVICE
I certify that a copy of this document was mailed faxed and mailed e-mailed
hand-delivered to the person(s) listed below on {date} ________________.
Other party or his/her attorney:
Printed Name:
Address:
City, State, Zip:
Telephone Number:
Fax Number
Designated Email Address(es):
FAM_MotiontoContestDriversLicenseSuspensionRevocation_20210726_WEB Page 2 of 2
I understand that I am swearing or affirming under oath to the truthfulness of the claims
made in this motion and that the punishment for knowingly making a false statement
includes fines and/or imprisonment.
Dated:
____________________
Signature of Party or his/her attorney
Printed Name:
Address:
City, State, Zip:
Telephone Number:
Fax Number
Designated Email Address(es):
IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN
THE BLANKS BELOW:
This form was prepared for the: {choose only one} Petitioner Respondent
This form was completed with the assistance of:
{name of individual} ,
{name of business} ,
{address} ,
{city} , {state} _____ _________ ________________, {zip} , {phone} .
