Ignition Interlock Operator s Affidavit 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the Operator’s Information section. Enter your last name, first name, middle name, suffix, date of birth, license number, and phone number. Ensure all details are accurate.
3. Provide your residential address and mailing address. If they are the same, check the box provided. Remember that a P.O. Box is not acceptable for residency proof.
4. In the Acceptable Proof of Out-of-State Residency section, list two forms of proof as required. Initial next to each form to confirm your understanding.
5. Review and initial each statement regarding your responsibilities under Massachusetts law concerning Ignition Interlock Devices.
6. List each vehicle you own or operate in Section B. Include make, model, registration number, and VIN for each vehicle.
7. Finally, sign and date the form in Section C to certify that all information is true and correct.

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