Out-of-State Ignition Interlock Status Verification Form: Fill out & sign online

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Click ‘Get Form’ to open the Out-of-State Ignition Interlock Status Verification Form in our editor.
Begin by filling in the Driver section. Print or type the driver's name, date of birth, and driver license number. Ensure that the mailing address, city, state, and ZIP code are accurately entered.
In the Activity section, check only one box that corresponds to the driver's status: Installation, Compliant, Non-compliant/Non-functioning, Removal, or compliance release options. Enter the relevant date for each activity.
Provide details about any incidents in the past four months or 180 days as required. This includes checking for any attempts to start the vehicle with a breath alcohol concentration of .04 or more.
Fill in vehicle details such as make/model, year, VIN, license plate number, and device number.
Complete the Company section by printing or typing the ignition interlock company name and Washington business license number. Include the representative's name and phone number along with their mailing address.
Once all fields are completed accurately, save your document and either fax it to (360) 570-4961 or scan and email it to interlock@dol.wa.gov.

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Versions	Form popularity	Fillable & printable
2017	4.9 Satisfied (28 Votes)
2012	4.7 Satisfied (49 Votes)

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What happens if you get a violation on interlock in Washington state?

Violating the terms of an Ignition Interlock Driver License is considered a gross misdemeanor in Washington State. Failing to comply with IID requirements can lead to a cascade of penalties you dont want to incur, from additional fines to a longer IID requirement period, or even jail time.

What is interlock 4 month compliance in Washington state?

Certificate of compliance Theyll submit the certificate if you have not done any of the following in the last 4 months or the last 180 days: Attempting to start the vehicle with a breath alcohol content of . 04 or more. Failed to take or pass any required retest.

Can I get my interlock removed early in Washington state?

Interlock Removal in Washington State Removing an IID early will result in an extension of the time requirement for the IID. Your restricted license will be canceled if you remove an IID while such a license is still in effect.

How to pass an IID?

Avoid Alcohol Before Driving To pass a breathalyzer test, its best to completely avoid drinking if you plan to drive. This ensures you pass the breath test and promotes safer driving habits and compliance with your IID requirements.