Oklahoma Highway Patrol Troop S

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Motor Carrier Safety Administrative Hearing Request
This request form is intended for motor carrier companies challenging the civil penalties assessed in the Notice of Claim for Out-of-Service violations from a roadside inspection.
* Indicates Required Field
This form must be completed and submitted within 25 days of the date the Notice of Claim was sent. Please use the Notice of Claim sent to the company from the Oklahoma Highway Patrol - Troop S to complete the following section. Only those Out-of-Service violations for which a Civil Penalty has been assessed may be challenged. NOTE: If you, the motor carrier, are organized as a corporation, LLC, or a partnership, you may not proceed to a hearing unless you are represented by an attorney licensed in Oklahoma. You must be represented by an attorney at the hearing and throughout every stage of the hearing and administrative process.
*Date of Request: (Format: mm/dd/yyyy)
Motor Carrier Information
*DOT Number:
*Motor Carrier (Company Name):
*DBA Name:
*Motor Carrier mailing address:
*Motor Carrier Representative Name:
*Motor Carrier Representative Phone Number: (no dashes e.g. 5554443333)
*Motor Carrier Representative Email Address:
Mailing Address for Notice of Hearing (if different from carrier address):
Attorney Information
*Are you an attorney representing a company and/or driver? Yes No
Firm or Organization Name (Please include your bar number):
Attorney Name:
Phone Number: (no dashes e.g. 5554443333)
Mailing Address:
Email Address:
The motor carrier CHALLENGES the following Out-Of-Service Violations listed on the Notice of Claim, and understands that these violations will be heard by the Hearing Officer at the administrative hearing.
*Commercial Vehicle Examination Report Number:
*CHALLENGED OUT-OF-SERVICE VIOLATIONS (Please list by violation number: ex. 393.25F) In the space provided, explain a justification for each violation you wish to dispute. Multiple vioaltions must be listed on a new line. Ex. 393.25F, (reason for dispute)
*Will additional evidence be submitted? Yes No
Note: You can submit any evidence by email or postal mail. If submitting by email, documents must be sent as a pdf attachment and should be attached in reply to the confirmation email that includes your assigned case#. DO NOT start a new email thread. If submitting by postal mail, please include the following: 1. A copy of the hearing request. 2. Images must be clear and printed in color. 3. Any documents submitted must be labeled with the corresponding violation code. ALL documents and/or images must be printed separately. DO NOT print front and back. Video can be submitted via email as an attachment. DO NOT send as a link. You may also send a video by postal mail. Documents can be mailed to: Oklahoma Highway Patrol, Troop S 200 NE 21st St Oklahoma City, OK 73105
The Motor Carrier understands only Out-of-Service violations listed on the Notice of Claim will be heard by the Hearing Officer at the Administrative hearing.
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Motor Carrier Safety Administrative Hearing Request