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Contact Daniel Ambrose for fast answers to your criminal law questions. He can be reached at his office at (248) 624-5500, his cell phone (248) 808-3130 or by email at Daniel@ambroselawgroup.com
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| REQUEST FOR HEARING FORM |
DATE
| Secretary of State of the State of Michigan |
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Re: |
| Driver License Appeal Division |
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DOB: |
| P.O. Box 30196 |
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DL#: |
| Lansing, MI 48909 |
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Address: |
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| Dear Sir or Madam: |
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| Please allow this letter to serve as a request for a hearing before the Driver Assessment and Appeal Division. Enclosed, please find the Officer’s Report of Refusal to Submit to Chemical Test. |
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| Should you need any additional information in the interim, please do not hesitate to contact our office at the above stated telephone number. |
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XXXXX XXXXXXX
Attorney at Law
Address
Phone Number |
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