AA-137W Form – If you’ve been arrested for driving while intoxicated (DWI) or ability impaired (DWAI) in New York and refused a chemical test, you may receive a Notice of Temporary Suspension and Notice of Hearing. In these cases, the AA-137W Form (officially titled “Waiver of Hearing”) lets you voluntarily waive your right to a DMV administrative hearing. This New York DMV form is the fastest way to accept the revocation of your license or driving privilege for a chemical test refusal under Vehicle and Traffic Law (VTL) § 1194.
The AA-137W PDF is 100% free, official, and directly from the New York State Department of Motor Vehicles (NY DMV). This guide covers everything you need: what the form does, who needs it, how to fill it out, penalties, and the direct download link.
What Is the AA-137W Form?
The AA-137W Form — also called the General DMV Hearing Waiver or Waiver of Hearing — is a one-page official document used exclusively for chemical test refusal cases.
By signing it, you:
- Waive your right to an administrative hearing before a DMV Administrative Law Judge.
- Consent to the immediate revocation of your New York driver license or driving privilege.
- Agree that the arresting officer’s testimony would prove the refusal.
The form was last revised in May 2022 (05/22) and remains the current version used by the NY DMV as of 2026.
Important note: This waiver is separate from your criminal DWI/DWAI court case. Waiving the DMV hearing does not affect the outcome of your criminal charges.
When Do You Need the AA-137W Form?
You receive the AA-137W opportunity after:
- Arrest for VTL § 1192 (DWI, DWAI, Aggravated DWI, etc.).
- Refusal to submit to a chemical test (breath, blood, urine, or saliva) under VTL § 1194.
- Issuance of the court’s Notice of Temporary Suspension (usually Form AA-137).
The temporary suspension lasts up to 15 days or until the hearing date. Submitting the AA-137W makes the full revocation effective on the date the DMV receives your waiver (fax or postmark). Many drivers choose to waive so they can begin serving the revocation period at the same time as any criminal suspension.
Do NOT use this form for vessel operators (use AA-137VW instead) or any other type of DMV hearing.
Step-by-Step: How to Fill Out and Submit the AA-137W Form?
The form is simple and designed to be completed by hand.
Fields to Complete:
- Last Name, First Name, M.I.
- Date of Birth (MM/DD/YYYY)
- Sex (M, F, or X)
- Full Address, City, State, Zip Code
- NYS Driver License or ID Number
- Arrest date
- Location (City / Town / Village)
- Court name and County where arraigned
- Arresting officer’s name and police agency
- License plate number of the vehicle you were driving
Waiver Statement (you must read and understand before signing): “I waive my right to an administrative hearing… Because of such refusal, I agree to have my license revoked.”
Signature & Date — Sign in full (no initials).
Submission Instructions (verbatim from the form): Fax or mail the completed AA-137W as soon as possible to:
Division of Safety and Business Hearings
6 Empire State Plaza
Albany, NY 12228
Phone: (518) 474-1509
Fax: (518) 473-8505
The revocation starts on the date the DMV receives your form.
Pro tip: Keep a copy for your records and note the fax confirmation or postmark.
Penalties After Signing the AA-137W
Signing the waiver triggers these mandatory penalties (separate from any criminal penalties):
- Civil Penalty: $500 ($550 if you were driving a commercial vehicle or hold a CDL)
- Driver Responsibility Assessment (DRA): $750, paid in three annual $250 installments
- Second refusal within 5 years or prior alcohol-related conviction: $750 civil penalty
- Three or more alcohol/drug incidents: Possible permanent license revocation
You must pay the civil penalty before you can be re-issued a license. Failure to pay the DRA results in an additional suspension.
Direct Download: AA-137W PDF (Official NY DMV Link)
✅ Official & Free Download
Download AA-137W Form – Waiver of Hearing (PDF)
Direct link from dmv.ny.gov — no third-party sites, no registration required. Always verify you’re on the official NY DMV website before downloading any DMV form.
Frequently Asked Questions (FAQ) – AA-137W Form
Can I change my mind after submitting the AA-137W?
No. Once submitted and received by the DMV, the waiver is final.
What happens if I don’t waive and go to the hearing?
You can present evidence and witnesses. If the DMV finds a refusal occurred, your license will still be revoked (usually for 6 months to 1 year or longer).
Do I need a lawyer to submit the AA-137W?
No, but consulting a New York DWI attorney is strongly recommended before waiving any rights.
Is the AA-137W the same as the criminal case waiver?
No — this is only for the separate DMV administrative hearing.
Where can I find the full list of DMV forms?
Visit the official NY DMV Forms and Publications page.
Related NY DMV Forms You Might Need
- AA-137 — Notice of Temporary Suspension and Hearing
- AA-33A — Appeal from DMV Hearing Determination
- C-12 — Guide to Suspension & Revocation of Driving Privileges (PDF)
- AA-137VW — Waiver of Hearing for vessels (boating)
Final Advice
The AA-137W Form is a powerful but irreversible decision that triggers automatic license revocation and significant financial penalties. Always read the form carefully, understand VTL § 1194 consequences, and consider speaking with a licensed New York attorney and/or contacting the DMV Safety Hearing Bureau at (518) 474-1509 before signing.
For the most current information, always go directly to the official New York DMV website at dmv.ny.gov.
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