Hearings Division Forms

Respond to Request for Information on Standing Online

You may submit this form if you have received a letter from a hearing officer from the OATH Hearings Division that is directing you to provide more information to show that you are authorized to request a new hearing after a failure to appear (vacate a default).

Answer every question in the space provided.
This form must be received by the OATH Hearings Division within 10 business days of the date of the letter from the OATH Hearing Officer or your request will be deemed abandoned.
If you have more than 5 summons, you must submit your response by mail to OATH Hearings Division Special Motion Part, 66 John St., New York, NY 10038, fax at 212-436-0768, or in person at any OATH Hearings Division location.
If there are more than 5 summonses/notices, you must submit your response by mail by sending it to the address listed at the top of the hearing officer's letter or in person at any OATH Hearing Office.
Registered representatives must upload and submit a signed, completed authorization form in the space provided at the end of the form.
Please read the entire form before filling it out.

* Indicates required fields

Summons Numbers

(You must enter at least one violation number)

Summons Number*

Summons Number 2

Summons Number 3

Summons Number 4

Summons Number 5

Information About You

Last Name*

First Name*

Middle Initial

Name on the Summons

Last Name on Summons*

First Name on Summons*

Middle Initial on Summons

Name of the Person Who Asked You to Request a New Hearing

Requester's Last Name*

Requester's First Name*

Requester's Middle Initial

That Person's Relationship to the Person Named on the Summons

Relationship*

If the name on the Summons is a company

You must tell us the name of the person who authorized you and what that person's job or title is at the company by completing the fields below.

I have been authorized to make this request by

Authorized Last Name

Authorized First Name

Authorized Middle Initial

Job Title with Respondent/Company

File Upload

Registered representatives must upload and submit a signed, completed authorization form. Total file size cannot exceed 3Mb.

Choose a file…no file selected Upload, .jpg, .jpeg, .pdf, and .doc files.

Affirmation*

I affirm that I am authorized to complete and submit this application

Certification*

I certify under penalty of perjury that to the best of my knowledge, all information I included on this e-form and in the attachments, if any, is true.

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