North Carolina > Statewide > Civil
Petition For Limited Driving Privilege CV-350 - North Carolina
| Petition For Limited Driving Privilege Form. This is a North Carolina form and can be used in Civil Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
STATE OF NORTH CAROLINA County Name, Address, And Telephone No. Of Petitioner File No. In The General Court Of Justice District Court Division IN THE MATTER OF: Speeding: Out-Of-County/Out-Of-State Race Hair Color Offense(s) Sex Eye Color Height Date Of Birth Weight PETITION FOR LIMITED DRIVING PRIVILEGE Or Federal Convictions OR DWI: Out-Of-State Or Federal Convictions G.S. 20-16(e1), 20-16.1(b)(3), 20-179.3(d) Drivers License No. And State Date And Jurisdiction Of Conviction(s) NOTE: THIS IS A CIVIL ACTION. Civil costs requirements must be satisfied when this Petition is filed. Use this form for petitions for limited driving privilege when the conviction that causes the revocation does not occur in the county in which the limited driving privilege is being sought. If the judge determines that a limited driving privilege is appropriate, AOC-CV-351 or AOC-CV-352 should be used. I, the undersigned petitioner, request the Court to issue a limited driving privilege for the revocation listed below: 1. My license was revoked by the North Carolina Division of Motor Vehicles, effective on for a period of for the convictions(s) listed above. G.S. 20-16.1(b)(3). G.S. 20-179.3(d). G.S. 20-16(e1). 2. I am eligible for a limited driving privilege under I meet all the eligibility requirements under the statute checked. 4. I have attached , 3. I have attached a copy of my driving record. The record has been certified by the North Carolina Division of Motor Vehicles. a properly executed form DL-123 or equivalent proof that I am financially responsible. a properly executed form DL-123A stating that I am not required to furnish proof of financial responsibility. Signature Of Petitioner 5. I have attached the required documentation of my need to engage in employment related driving. Date Notice To The District Attorney: NOTICE OF HEARING The petitioner named above will apply to the District Court Judge named below for issuance of a limited driving privilege at the date, time and place shown below: Name Of Judge (Type Or Print) Date Place Time Date AM PM Signature Deputy CSC Assistant CSC Clerk Of Superior Court CERTIFICATION I certify pursuant to G.S. 20-179.3(d) that on this date, I filed a copy of this Petition with the District Attorney's office in person. by depositing same in the U.S. mail in an envelope bearing proper postage. Other: Date Signature Deputy CSC Clerk Of Superior Court Assistant CSC . WAIVER I, the undersigned district attorney, waive the statutory requirement of the Clerk to file a copy of this Petition with the District Attorney's office and further waive the right to appear at a hearing on this Petition for limited driving privilege. Date Name Of District Attorney (Type Or Print) Signature Of District Attorney NOTE: The Clerk of Superior Court upon the filing of this Petition with a notice of hearing, should immediately file a copy with the District Attorney's office and sign the certification. If the District Attorney waives the right to having this Petition filed with District Attorney's office, the Clerk has no further responsibility. AOC-CV-350, Rev. 6/12 © 2012 Administrative Office of the Courts American LegalNet, Inc. www.FormsWorkFlow.com
|
|||||||
