Free    Petition to modify point suspension - Ohio

IN THE ASHTABULA MUNCIIPAL COURT ASHTABULA, OHIO ___________________________
(Name)

___________________________
(Address)

CASE NO.

___________________________
(City/State/Zip Code)

PETITION TO MODIFY POINT SUSPENSION Plaintiff v. ALBERT S. CAMPLESE, JUDGE FRANKLIN CALTRIDER, RIGISTRAR BUREAU OF MOTOR VEHICLES P.O. Box 16520, MVODIP Columbus, Ohio 43216 Defendant 1. Now comes the Plaintiff, _________________________________________, and states that he/she resides within the
(Your Name)

Social Security No.: ________________________ Date of Birth: _____________________________ Operator's License No.: ____________________

jurisdiction of this Court. Plaintiff further states on or about __________________________ he/she received
(Date of Notice from BMV)

notice from the State of Ohio advising him/her that his/her driver's license will be suspended under O.R.C. 4507.021(K), effective on or about ______________________.
(Date of Suspension)

2.

Plaintiff states that he/she filed this complaint within the required twenty (20) days from mailing of said notice of suspension.

3. Plaintiff can show cause why he/she should not be suspended. 4. Plaintiff states that his/her employment is of such nature that his/her ability to continue employment would be seriously affected if the suspension otherwise required under O.R.C. 4507.021(K) be imposed. 5. Plaintiff agrees to pay court costs of said proceedings.

____________________________________
(Signature)

CERTIFICATE OF SERVICE I hereby certify that a correct copy of this complaint to set aside or modify suspension was sent by regular mail to FRANKLIN L. CALTRIDER, REGISTRAR, BUREAU OF MOTOR VHEICLES, P.O. BOX 16520, ATTN: MOVDIP, COLUMBUS, OHIO 43216, this ____________ day of ___________________________, 2000.

__________________________________________
(Signature)