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TC 94-178 docx - transportation ky 2026
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- Click ‘Get Form’ to open the TC 94-178 document in the editor.
- Begin with SECTION 1: DRIVER INFORMATION. Fill in your full name, mailing address, city, state, and zip code. Ensure all details are accurate for proper identification.
- Continue by providing your residential street address, city, driver license number, plate number, VIN, year, and make/model of your vehicle. Double-check these entries for correctness.
- Move to SECTION 2: INSTALLER STATEMENT INFORMATION. Enter the name and phone number of the installer who removed the ignition interlock device along with their street address, city, state, and zip code.
- In SECTION 3: DEVICE PROVIDER INFORMATION, input the company name and address of the device provider. Include their phone number and device model number as well.
- Finally, complete SECTION 4: SIGNATURE & DATE by printing your name (the individual removing the device), entering the removal date, and signing where indicated.
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