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Interlock affidavit 2026

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  1. Click ‘Get Form’ to open the interlock affidavit in the editor.
  2. Begin by entering your name, Colorado PIN, address, city, state, and ZIP code in the designated fields. Ensure all information is accurate for proper processing.
  3. Review the certification statements carefully. Confirm that you have obtained a signed lease agreement for each vehicle requiring an ignition interlock device and that copies are provided to the department.
  4. Sign and date the affidavit at the bottom of the form. This certifies that all information provided is true and correct.
  5. If required, complete the notary section by having a notary public witness your signature and provide their signature along with commission expiration date.

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colorado interlock affidavit

250 Neb. Admin. Code, ch. 1, 009 - IGNITION INTERLOCK COSTS

Upon receipt of an affidavit for determination of indigency, the Department will review the affidavit to determine the applicant drivers indigency status

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