Administrative Hearing Request Form

Please fill out the form below to request an administrative hearing. To receive a response to your message, please provide us with your email address.

If you do not receive a response to your hearing request within TWO business days, you must contract the Drivers License Division immediately at 701-328-2600.
*First Name:
*Last Name:
Mailing Address:
Phone Number:
*Email Address: (ex.
Secondary Email Address: (ex.
*Date of Birth:
*Drivers License Number:
Attorney Name:
Attorney Phone Number:
*Reason for Request:
* Indicates a Required Field