Notice of Suspension or Revocation - Oregon DMV
This document serves as a notice of suspension or revocation of driving privileges in Oregon. It outlines the necessary steps and information for individuals affected by traffic crime convictions. Users must submit this form to the DMV to comply with court mandates.
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How do I fill this out?
Filling out this form is crucial for compliance with court orders. Carefully read each section and provide accurate details concerning the offense. Ensure all required fields are completed to avoid processing delays.

How to fill out the Notice of Suspension or Revocation - Oregon DMV?
1
Read the instructions on the form carefully.
2
Fill in personal details including name, address, and date of birth.
3
Specify the type of offense and related details.
4
Sign the form to acknowledge receipt of the notice.
5
Submit the completed form to the DMV as directed.
Who needs the Notice of Suspension or Revocation - Oregon DMV?
1
Individuals receiving a suspension notice must complete this form.
2
Lawyers representing clients involved in traffic crime cases need this for court submissions.
3
Parents of minors facing revocation due to juvenile offenses require this form.
4
Driving schools may use this document for their records when handling student suspensions.
5
Employers who conduct background checks on employees may require this information to comply with regulations.
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What are the instructions for submitting this form?
Submit this form by mailing it to the DMV at 1905 Lana Ave NE, Salem, Oregon 97314. Alternatively, you can fax it to Driver Sanctions at 503-945-5096. Ensure to include any accompanying judgment documentation as required.
What are the important dates for this form in 2024 and 2025?
For the year 2024, ensure to submit this form for traffic offenses by applicable deadlines set by the DMV. In 2025, check for any updated regulations or submission timelines for similar cases. Staying informed about these dates is crucial for maintaining driving privileges.

What is the purpose of this form?
The purpose of this form is to officially notify individuals of their driving privileges' suspension or revocation due to traffic-related offenses. It serves as a legally binding document that requires accurate completion to comply with court judicial mandates. By submitting this form, individuals can address their legal standing and seek appropriate actions towards reinstatement.

Tell me about this form and its components and fields line-by-line.

- 1. Court Name: The official name of the court issuing the suspension.
- 2. Driver License / Customer Number: Unique identifier for the driver's license or DMV customer profile.
- 3. Person's Name: The full legal name of the individual affected by the suspension.
- 4. Address: Residential address of the individual.
- 5. Offense: Specific traffic offense leading to suspension.
- 6. Date of Birth: The birth date of the individual.
- 7. Conviction Date: The date the traffic conviction occurred.
What happens if I fail to submit this form?
If you fail to submit this form, your driving privileges may remain suspended indefinitely. Additionally, you may face legal consequences due to non-compliance with court orders. It's crucial to address this issue promptly to avoid further penalties.
- Continued Suspension: Driving privileges will remain suspended until the form is submitted.
- Legal Repercussions: Failure to submit can lead to additional legal actions against you.
- Increased Penalties: You may incur fines or penalties for driving while suspended.
How do I know when to use this form?

- 1. Suspension Due to Conviction: Use this form when your driving rights have been suspended following a traffic crime conviction.
- 2. Juvenile Offense Hearings: Needed for minors facing revocation due to adjudication.
- 3. Administrative Reviews: Utilized when appealing against a suspension decision.
Frequently Asked Questions
What is this document used for?
This document serves as a legal notice regarding the suspension or revocation of a driver's license in Oregon.
How do I fill out this form?
Follow the instructions on the form, entering all required information accurately.
Where do I submit this form?
You can submit the form by mailing or faxing it to the DMV at the address provided.
Can I edit this form?
Yes, you can use PrintFriendly to edit the PDF before submission.
How can I sign this PDF?
PrintFriendly offers a signature tool to easily sign PDFs electronically.
What if I don't submit this form?
Failure to submit this form may result in continued suspension of your driving privileges.
Can I download the edited PDF?
Yes, you can download the PDF after editing it.
Is there a fee for editing this PDF?
No, there is no fee for editing PDFs on PrintFriendly.
What if I need help while filling out this form?
You can reach out to the DMV customer service for assistance.
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Yes, PrintFriendly allows you to share your edited PDF easily.
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