(1) The statutory authority for administrative revocation;

(2) An explanation of the distinction between administrative revocation and a suspension or revocation imposed under section 291-4 or 291-4.4; and

(3) That criminal charges filed pursuant to section 291-4 or 291-4.4 may be prosecuted concurrently with the administrative action.

(1) Information identifying the arrestee;

(2) The specific violation for which the person was arrested;

(3) The date issued and the date the administrative revocation is scheduled to go into effect;

(4) That the arrestee was informed of the sanctions of this part and of the consequences of refusing to be tested for alcohol concentration of the blood and whether or not the arrestee consented to be tested;

(5) The expiration date of the temporary driver's permit and the temporary motor vehicle registration, if applicable; and

(6) That the arrest will be administratively reviewed.

(1) That the review is automatic;

(2) That the arrestee, within three days of the arrest, may submit written information demonstrating why the arrestee's driver's license and motor vehicle registration, if applicable, should not be administratively revoked;

(3) The address or location where the arrestee may submit the information;

(4) That the arrestee is not entitled to be present or represented at the review; and

(5) That the review decision shall be mailed to the arrestee no later than eight days after the date of the arrest.

(1) The reasons why the arrestee's driver's license and motor vehicle registration, if applicable, were administratively revoked;

(2) That the arrestee may request the director, within six days of the date the decision is mailed, to schedule an administrative hearing to review the administrative revocation;

(3) That if the arrestee's request for an administrative hearing is received within six days, the hearing shall be scheduled to commence no later than twenty-five days after the date of arrest;

(4) The procedure to request an administrative hearing;

(5) That failure to request an administrative hearing within the time provided shall cause the administrative revocation to take effect for the period and under the conditions established by the director in the decision;

(6) That the arrestee may regain the right to a hearing by requesting the director, within sixty days after the arrest, to schedule a hearing;

(7) That the director shall schedule the hearing to commence no later than thirty days after the request is received but that, except as provided in section 286-259(k), the temporary permit shall not be extended if the arrestee fails to request an administrative hearing within the initial six-day period provided for that purpose;

(8) That failure to attend the hearing shall cause the administrative revocation to take effect for the period and under the conditions indicated;

(9) The duration of the administrative revocation and other conditions that may be imposed, including referral to the driver's education program for alcohol counseling and alcohol treatment; and

(10) That the director may grant a special registration to a qualified household member or to a co-owner of any motor vehicle owned by the arrestee upon a determination that the person is completely dependent on the motor vehicle for the necessities of life; provided that the special registration shall not be valid for use by the arrestee.

(1) That the arrestee shall have six days from the date the review decision was mailed to request that an administrative hearing be scheduled;

(2) That a request for an administrative hearing shall entitle the arrestee to review and copy all documents considered at the review, including the arrest report and the sworn statements, prior to the hearing;

(3) That the arrestee may be represented by an attorney, submit evidence, give testimony, and present and cross-examine witnesses; and

(4) That a written decision shall be mailed no later than five days after completion of the hearing.

(1) The effective date of the administrative revocation;

(2) The duration of the administrative revocation;

(3) If applicable, the date by which all motor vehicle license plates issued to the arrestee must be surrendered to the director;

(4) If applicable, that failure to surrender all motor vehicle license plates as required is a misdemeanor;

(5) Other conditions that may be imposed by law; and

(6) The right to obtain judicial review.