Request for Eligibility Review

After a DUI arrest, the officer will seize your driver’s license if you are accused of driving over the legal limit of .08 or if you refused the breath, blood or urine test. That administrative suspension will show up on your driving record shortly thereafter.

You only have one chance to contest this administrative suspension by demanding a formal review hearing within ten (10) days of your arrest. If you don’t get that notation removed, it will remain on your driving record for the next seventy-five (75) years.

At the Sammis Law Firm, our attorneys ALWAYS recommend demanding a formal review hearing. We can make the demand for you and help you secure a 42-day permit so that you can keep driving while we challenge the suspension. Before you decide, call our Tampa DUI Attorneys for a free consultation.

Call (813) 250-0500.

Don’t Waive the Formal Review Hearing

Some attorneys will tell you to waive all your rights and stipulate to the administrative suspension by requesting immediately reinstatement of your hardship privileges. To do this, you must enroll in DUI school and fill out the request for eligibility review form (HSMV 72034 (06/2017)).

You can download the form for the “request for eligibility review” (also known as the “wavier review hearing” or “review waiver hearing”) directly from the website of the Department of Highway Safety and Motor Vehicles.

Click here to download the newest HSMV Form 72034 (06/2017) REQUEST FOR ELIGIBILITY REVIEW. The form was first published in May of 2013 and then revised in June of 2017.

Sample Form for the Request for Eligibility Review

Florida Department of Highway Safety & Motor Vehicle

Bureau of Administrative Reviews


Driver’s Full Name _________________________________

First      Middle or Maiden      Last

Telephone Number (_____)__________________________

Address __________________________________________________

Street      City      State      Zip Code

Driver License Number _____________________________ State ___________________

I _____________________________ hereby request a review of my record for the purpose of determining my eligibility for immediate reinstatement of my driving privilege on a restricted basis as provided in section 322.2615(1)(b)3, Florida Statutes. I understand the restriction is for Business Purposes Only as defined in section 322.271, Florida Statutes and I must pay a $25.00 filing fee, pursuant to section 322.21(9)(a).

I understand that the restricted license will be for the duration of the suspension period imposed under section 322.2615 Florida Statutes, unless subsequently revoked by the court, as follows:

  • Driving with an Unlawful Breath-Alcohol or Blood-Alcohol Level = 6 months suspension
  • Refusal to Submit to a Breath, Blood or Urine Test = 1 year suspension

Reinstatement of the driving privilege on a restricted basis as set forth herein is conditioned on statutory eligibility requirements, including but not limited to enrollment in DUI School.


I also understand that acceptance of the reinstated driving privilege as provided in section 322.271(7)(c),
Florida Statutes is deemed a waiver of my right to a formal or informal review under section 322.2615, Florida Statutes.

Signature of Driver ______________________________________________

Date _______________

Witness Signature _____________________________________________

Witness Printed Name ____________________________________________

Date _______________

Office Hours – Monday through Friday 8:00 a.m. to 5:00 p.m.

Orlando – Office Hours – Monday through Friday 7:00 a.m. to 6:00 p.m.



Office Number

Fax Number


4585 140th Avenue North, Suite 1002

(727) 507-4405

(727) 507-4406


7439 Wilson Boulevard

(904) 777-2132

(904) 777-2133

Lauderdale Lakes

3718-3 W. Oakland Park Blvd

(954) 677-5800

(954) 714-3550


7795 W. Flagler Street, Suite 82C

(305) 265-3001

(305) 265-3063


4101 Clarcona-Ocoee Road, Suite 152

(407) 445-5581

(407) 445-5584


100 Stumpfield Road

(850) 494-5728

(850) 494-5837


2900 Apalachee Parkway Room B-154

(850) 617-2449

(850) 617-5077


2814 East Hillsborough Avenue

(813) 276-5795

(813) 231-0817

HSMV 72034 (06/2017)

Additional Resources

Clearwater Bureau of Administrative Review – Find information on the DHSMV Office of the Bureau of Administrative Review located at 4585 140th Avenue North, Suite 1002. The phone number is (727) 507-4405.

Tampa Bureau of Administrative Review – Find information the DHSMV Office of the Bureau of Administrative Review located at 2814 East Hillsborough Avenue. The phone number is (813) 276-5795.

This article was last updated on Monday, July 15, 2019.