Fill and Sign the Writ Certiorari 497302696 Form

IN THE CIRCUIT COURT OF THE _________________ (Number) JUDICIAL CIRCUIT IN AND FOR ____________________ (Name) COUNTY, FLORIDA APPELLATE DIVISION CASE NO. __________ AP ___________________________ Petitioner (Name of Petitioner) v. STATE OF FLORIDA, DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES, Respondent PETITION FOR WRIT OF CERTIORARI Petitioner, ______________________ (Name of Petitioner) , pursuant to Fla. R. App. P. 9.100, '322.2615, Fla. Stat. and 322.31, Fla. Stat., respectfully petitions this Honorable Court to issue a Writ of Certiorari to review the final order rendered on ___________________ (date) , by the Department of Highway Safety and Motor Vehicles/Bureau of Administrative Review sustaining the administrative suspension of Petitioner’s driver license under 322.2615, Fla. Stat. A. at 37-38.1. I. JURISDICTION This Court has jurisdiction to issue a writ of certiorari under Fla. R. App. P. 9.030(c)(2001); Fla. Stat. ' 322.31(2000). Art. V, 5(b), Fla. Const. (1980). Section 322.2615(13), Fla. Stat., provides that review of orders sustaining administrative suspensions imposed pursuant to that statute shall be obtained by means of a “petition for writ of certiorari to the circuit court pursuant to '322.31.” The Driver resides in _____________________ (Name) County and the issuance of the Notice of Suspension was in _____________________ (Name) County, Florida. Since Petitioner has a statutory right to file this petition in the county where he resides, this Court has subject matter and personal jurisdiction over this case. '322.2615(13), Fla. Stat. II. STATEMENT OF THE FACTS (Fill in applicable facts). ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ III. NATURE OF RELIEF SOUGHT The Petitioner seeks an Order of this Court granting his Petition for Writ of Certiorari, quashing the Department of Highway Safety and Motor Vehicles Order upholding the suspension of his driver’s license and ordering that the Petitioner’s driving privileges be reinstated. IV. ARGUMENT (State Legal Argument). ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ V. CONLCUSION Based on the foregoing, the Hearing Office departed from the essential requirements of law and due process which requires that the suspension be set aside and vacated and the reinstatement of Petitioner’s driving privileges. WHEREFORE, the licensee respectfully requests that the suspension be set aside and that his full driving privileges be immediately restored and for such other further relief as this Honorable Court deems just and proper. Respectfully submitted, _______________________ Name of Petitioner ________________________________ ________________________________ Address of Petitioner ________________________________ Phone Number of Petitioner CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing was sent by hand/U.S. Mail to the Office of the General Counsel to the Department of Highway Safety and Motor Vehicles, Office of the General Counsel, (for example: 2515 West Flagler, Miami, Florida, 33135 and Florida Department of Financial Services, Division of Risk Management, Bureau of State Liability Claims, 200 E. Gaines Street, Tallahassee, FL 32399-0338) _________________________________________________________________ ____________________________________________________________________________ __________________________________, this _____ day of _________________, 20______. Respectfully submitted, _______________________ Name of Petitioner ___________________________ ___________________________ Address of Petitioner ___________________________ Phone Number of Petitioner CERTIFICATE OF SERVICE I DO HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished by U. S. Mail to the Department of Highway Safety and Motor Vehicles, to Hearing Officer ____________________ (Name) at _________________________________________ __________________________________ (street address, city, county, state, zip code) this ____________________ (date) . Respectfully submitted, _______________________ Name of Petitioner ___________________________ ___________________________ Address of Petitioner ___________________________ Phone Number of Petitioner