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Motor Carrier Safety Administrative Hearing Request


This request form is intended for individuals challenging the civil penalties assessed in the Notice of Claim for Out-of-Service violations from a roadside inspection.

* Indicates Required Field


NOTE: This Form must be completed and submitted within 25 days of the date the Notice of Claim was sent.


(Format: mm/dd/yyyy)
Click Here to Pick up the date,opens in a new window












(no dashes e.g. 5554443333)





Please use the Notice of Claim sent to you from the Oklahoma Highway Patrol - Troop S to complete the following Sections. Only those Out-of-Service violations which a Civil Penalty has been assessed may be challenged.

Section I

The Motor Carrier ADMITS the following Out-of-Service Violations listed on the Notice of Claim, and understands that these violations will not be heard by the Administrative Hearing Officer. The Motor Carrier further understands that by ADMITTING to the following Out-of-Service Violations the civil penalty listed for the individual violation on the Notice of Claim will be owed to the State of Oklahoma, Department of Public Safety, Troop S.



Section II

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.



By submitting this hearing request I stipulate to the waiver of compliance with 75 O.S. § 311 and agree and request to have the Notice of Hearing and Order mailed to the above stated mailing address by standard first class mail postage prepaid.





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