exemption for ignition interlock device form nj
Medical Waiver Form
This patient has indicated that he/she has a medical condition that interferes with the ability to use an ignition interlock device (IID) as required by law.
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IGNITION INTERLOCK DEVICE (IID) MEDICAL EXEMPTION
Complete all information in Section 1. Provide the form to your health care provider to complete Section 2. Submit the form to the appropriate agency (court or
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Or. Admin. Code 735-070-0082 - Medical Exemption from
(2) To apply for a medical exemption a person must submit a completed IID Medical Exemption form (DMV form 735-6941). The form must be completed by both the
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