Form AA-33 "Traffic Violations Bureau (Tvb) Appeal Form" - New York

What Is Form AA-33?

This is a legal form that was released by the New York State Department of Motor Vehicles - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 1, 2015;
  • The latest edition provided by the New York State Department of Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form AA-33 by clicking the link below or browse more documents and templates provided by the New York State Department of Motor Vehicles.

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Download Form AA-33 "Traffic Violations Bureau (Tvb) Appeal Form" - New York

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TRAFFIC VIOLATIONS BUREAU (TVB) APPEAL FORM
FILE TVB TICKET APPEALS ONLINE
AT:
dmv.ny.gov/WebAppeals/
Failure to sign and complete all applicable sections of this form will result in the rejection of your appeal. Type or print clearly.
APPEAL FILING REQUIREMENTS:
1. Mail a
SIGNED, COMPLETED APPEAL FORM AND A $10.00 NON-REFUNDABLE APPEAL FEE FOR EACH TICKET YOU WANT TO APPEAL TO:
NYS DMV APPEALS BOARD, P.O. BOX 2935, ALBANY, NY 12220-0935
2. Do NOT send cash. Send a check or money order payable to the “Commissioner of Motor Vehicles.” Multiple appeal fees should be combined in one
check or money order. Print TVB ticket number(s) on your check or money order. A $35 penalty is charged for bad checks.
3. The appeal form and appeal fee must be mailed to the DMV APPEALS BOARD
.
WITHIN THIRTY (30) DAYS OF THE CONVICTION OR HEARING DATE
Late appeal forms and appeal fees will be rejected.
4. Send a separate appeal form and appeal fee for each TVB ticket appealed. Multiple appeals should be sent in one envelope. The Appeals Board will
acknowledge receipt of your appeal form and fee by letter. If you do not receive an acknowledgment within 20 days after filing your appeal, contact the
Appeals Board at the above address.
TRANSCRIPT REVIEW:
CHECK THE APPROPRIATE BOX BELOW (CHECK ONLY ONE)
I WANT THE APPEALS BOARD TO REVIEW THE GUILTY DETERMINATION OF THE TVB JUDGE AND THE PENALTY.
I understand that I am required to pay the transcription company in a proper, timely manner so that the Appeals Board may review the hearing transcript
(hearing testimony and arguments) for my appeal. After receiving my appeal, the Appeals Board will send complete instructions for ordering the transcript,
and I will be required to send a $50 transcript deposit to the transcription company within 30 days of the date of the Appeals Board letter. The Appeals Board
does NOT accept transcript payments. BY LAW, if transcript payments are NOT made to the TRANSCRIPTION COMPANY in a proper and timely manner,
the only issue that the Appeals Board may review is the PENALTY IMPOSED.
I ACCEPT THE GUILTY DETERMINATION and WANT TO APPEAL THE PENALTY ONLY (fine/license sanction) WITHOUT TRANSCRIPT REVIEW.
I understand that, without a hearing transcript, the Appeals Board WILL NOT review the determination of guilt, or any hearing testimony or arguments
presented at the hearing. The Appeals Board will review the appropriateness of the PENALTY ONLY.
TVB FINES:
Fines and surcharges resulting from the conviction must be paid even if an appeal is filed. Unpaid fines, surcharges, or termination fees will result in a license
suspension, which is NOT stayed by the Appeals Board. Do NOT send fine and surcharge payments to the Appeals Board. TVB fines and surcharge
payments must be sent to:
DMV TRAFFIC VIOLATIONS DIVISION, P.O. BOX 2950-ESP, ALBANY, NY 12220-0950
STAY:
I REQUEST THAT THE LICENSE SUSPENSION OR REVOCATION IMPOSED AS A RESULT OF THE TVB CONVICTION BE STAYED OR STOPPED
A stay will not be granted unless you provide valid reasons for your request. Attach additional pages, if necessary.
PENDING THE OUTCOME OF THIS APPEAL.
I request a stay because:
REQUIRED APPEAL INFORMATION: All appeal notices will be sent to the addresses provided on this form. YOU ARE RESPONSIBLE FOR
NOTIFYING THE APPEALS BOARD IMMEDIATELY IN WRITING OF ANY CHANGE OF ADDRESS.
Last Name
First
M.I.
NYS Driver
Date of Birth
Month
Day
Year
License ID Number
M
F
X
Appeal Mailing Address (Street)
APT#
City
State
Zip Code
ATTORNEY FOR THIS APPEAL (If any)
ATTORNEY MAILING ADDRESS: (Street)
City
State
Zip Code
Ticket #
Violation
Violation Date
Conviction Date
Hearing Location
Hearing Time
AM
Month
Day
Year
Month
Day
Year
:
PM
Hearing Judge
VIOLATION: __________________________________________________________________________
Check
USPM:
FINE
AMT: $_________________
ALJ: ______________
SPEED: _______/_______
Money Order
_______________
STAY: ________________________________________________________________________________
No Fee Paid
TRAFFIC VIOLATIONS BUREAU (TVB) APPEAL FORM
FILE TVB TICKET APPEALS ONLINE
AT:
dmv.ny.gov/WebAppeals/
Failure to sign and complete all applicable sections of this form will result in the rejection of your appeal. Type or print clearly.
APPEAL FILING REQUIREMENTS:
1. Mail a
SIGNED, COMPLETED APPEAL FORM AND A $10.00 NON-REFUNDABLE APPEAL FEE FOR EACH TICKET YOU WANT TO APPEAL TO:
NYS DMV APPEALS BOARD, P.O. BOX 2935, ALBANY, NY 12220-0935
2. Do NOT send cash. Send a check or money order payable to the “Commissioner of Motor Vehicles.” Multiple appeal fees should be combined in one
check or money order. Print TVB ticket number(s) on your check or money order. A $35 penalty is charged for bad checks.
3. The appeal form and appeal fee must be mailed to the DMV APPEALS BOARD
.
WITHIN THIRTY (30) DAYS OF THE CONVICTION OR HEARING DATE
Late appeal forms and appeal fees will be rejected.
4. Send a separate appeal form and appeal fee for each TVB ticket appealed. Multiple appeals should be sent in one envelope. The Appeals Board will
acknowledge receipt of your appeal form and fee by letter. If you do not receive an acknowledgment within 20 days after filing your appeal, contact the
Appeals Board at the above address.
TRANSCRIPT REVIEW:
CHECK THE APPROPRIATE BOX BELOW (CHECK ONLY ONE)
I WANT THE APPEALS BOARD TO REVIEW THE GUILTY DETERMINATION OF THE TVB JUDGE AND THE PENALTY.
I understand that I am required to pay the transcription company in a proper, timely manner so that the Appeals Board may review the hearing transcript
(hearing testimony and arguments) for my appeal. After receiving my appeal, the Appeals Board will send complete instructions for ordering the transcript,
and I will be required to send a $50 transcript deposit to the transcription company within 30 days of the date of the Appeals Board letter. The Appeals Board
does NOT accept transcript payments. BY LAW, if transcript payments are NOT made to the TRANSCRIPTION COMPANY in a proper and timely manner,
the only issue that the Appeals Board may review is the PENALTY IMPOSED.
I ACCEPT THE GUILTY DETERMINATION and WANT TO APPEAL THE PENALTY ONLY (fine/license sanction) WITHOUT TRANSCRIPT REVIEW.
I understand that, without a hearing transcript, the Appeals Board WILL NOT review the determination of guilt, or any hearing testimony or arguments
presented at the hearing. The Appeals Board will review the appropriateness of the PENALTY ONLY.
TVB FINES:
Fines and surcharges resulting from the conviction must be paid even if an appeal is filed. Unpaid fines, surcharges, or termination fees will result in a license
suspension, which is NOT stayed by the Appeals Board. Do NOT send fine and surcharge payments to the Appeals Board. TVB fines and surcharge
payments must be sent to:
DMV TRAFFIC VIOLATIONS DIVISION, P.O. BOX 2950-ESP, ALBANY, NY 12220-0950
STAY:
I REQUEST THAT THE LICENSE SUSPENSION OR REVOCATION IMPOSED AS A RESULT OF THE TVB CONVICTION BE STAYED OR STOPPED
A stay will not be granted unless you provide valid reasons for your request. Attach additional pages, if necessary.
PENDING THE OUTCOME OF THIS APPEAL.
I request a stay because:
REQUIRED APPEAL INFORMATION: All appeal notices will be sent to the addresses provided on this form. YOU ARE RESPONSIBLE FOR
NOTIFYING THE APPEALS BOARD IMMEDIATELY IN WRITING OF ANY CHANGE OF ADDRESS.
Last Name
First
M.I.
NYS Driver
Date of Birth
Month
Day
Year
License ID Number
M
F
X
Appeal Mailing Address (Street)
APT#
City
State
Zip Code
ATTORNEY FOR THIS APPEAL (If any)
ATTORNEY MAILING ADDRESS: (Street)
City
State
Zip Code
Ticket #
Violation
Violation Date
Conviction Date
Hearing Location
Hearing Time
AM
Month
Day
Year
Month
Day
Year
:
PM
Hearing Judge
VIOLATION: __________________________________________________________________________
Check
USPM:
FINE
AMT: $_________________
ALJ: ______________
SPEED: _______/_______
Money Order
_______________
STAY: ________________________________________________________________________________
No Fee Paid
reset/clear
Last Name
First
M.I.
RECORDS REVIEWED:
The Appeals Board does NOT rehear cases, accept new evidence, or weigh the credibility of the witnesses. Exhibits that are received into evidence at the hearing
will become part of the appeal record unless the only issue on appeal is the penalty imposed. If you want copies of the hearing exhibits for your own records, you
must submit a Freedom of Information Law (FOIL) request to the DMV FOIL OFFICE at: 6 EMPIRE STATE PLAZA, ALBANY, NY 12208. Information about
submitting FOIL
requests is available online at:
dmv.ny.gov.
APPEAL ARGUMENTS:
In the space below, state your arguments and explain your reasons for filing the appeal. Attach additional pages, if necessary.
By law, personal appearances and oral arguments are NOT permitted on appeal. If a hearing transcript is produced, you will have 30 DAYS to submit final
arguments from the date the transcript is sent to you. You will be notified in writing of the outcome of your appeal. If you win on appeal and the Appeals
Board dismisses the conviction, the fine will be refunded.
READ THE STATEMENT BELOW. SIGN YOUR NAME. WRITE THE DATE THAT YOU SIGNED THIS FORM. (By law, no appeal shall be
reviewed if it is sent more than 30 days after the conviction date.)
I AFFIRM UNDER PENALTY OF PERJURY THAT ALL THE INFORMATION ON THIS FORM AND ALL SUPPORTING DOCUMENTS ARE
TRUE, AND THAT NO PRIOR APPEAL HAS BEEN FILED WITH RESPECT TO THIS TICKET.
X
Appellant Signature
Date
HAVE YOU:
Have you paid your fine to the Traffic Violations Division? Even if you file an appeal, you must pay your fine or your license will be suspended.
Have you submitted your appeal form and appeal fee for each TVB ticket within 30 days of the TVB conviction date?
Have you enclosed a $10.00 non-refundable appeal fee by check or money order for each TVB ticket you want to appeal?
Have you checked the appropriate box on page one indicating whether you are appealing the guilty verdict and the penalty or the penalty only?
Have you explained the reasons for filing your appeal above? Have you explained your reasons for requesting a stay on page one?
Have you signed and dated your appeal form above?
Have you made copies of your appeal form, appeal fee, and proof of mailing for your records?
dmv.ny.gov
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