How to use or fill out medical exemption for ignition interlock device form
- Click ‘Get Form’ to open it in the editor.
- In Section 1, complete all driver information including your driver license number, date of birth, name, and address. Indicate whether the IID requirement is from the court or DMV.
- Provide the form to your health care provider for Section 2. They will need to fill in their details, including name, specialty, and contact information.
- The health care provider must list the conditions that prevent you from operating an IID and confirm if the condition is permanent or temporary.
- Once completed, submit the form to the appropriate agency (court or DMV). If approved, ensure you keep a copy of the exemption with your valid driver’s license while driving.
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