How to use or fill out self-certification of vehicle(s) to be operated or inoperable
- Begin by accessing the self-certification form on our platform. Click ‘Get Form’ to open it in the editor.
- In Section A, provide your driver information. Fill in your full name, driver license number, and address. Ensure that you include a valid street address as a P.O. Box cannot be used alone.
- Move to Section B where you will list all vehicles you intend to operate. For each vehicle, enter the plate number, title number, VIN, and year/make of the vehicle.
- In Section C, complete the statement confirming that you will only operate the listed vehicles. Print your name, sign in ink, and date the form.
- Section D must be completed by an authorized representative of the ignition interlock vendor after installation. They will provide their details and sign off on this section.
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