Employer declaration for ignition interlock device form 2026

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  1. Click ‘Get Form’ to open the employer declaration for ignition interlock device form in the editor.
  2. Begin by filling out the employee section. Enter your name (Last, First, Middle initial), date of birth, Washington driver license number, and daytime telephone number.
  3. Next, move to the employer section. Input the name of your employer or representative, their company telephone number, company name, UBI number, and complete the company street address along with city, state, and ZIP code.
  4. In the declaration statement, confirm that you are required to operate a vehicle during working hours that is owned or leased by your employer. Ensure all information is accurate.
  5. Finally, have your employer sign and date the form in the designated area. Make sure to carry a copy while driving for work and send another copy to the Department of Licensing as instructed.

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The officer may also be able to see the ignition interlock device (IID) in your cars interior. If the officer pulled you over on suspicion of driving, you may be in trouble. But if they pulled you over to tell you that you have a tail light out, or you were speeding, the IID is not a factor.
Texas has specific regulations for using an Interlock Device (IID) to enhance road safety. Under Texas Penal Code Section 49.04, courts may mandate the installation of an IID in the vehicles of individuals convicted of driving while intoxicated (DWI) as part of their sentencing.
An individual who receives an ODL is required to an ignition interlock device on the vehicle if: They have 2 or more DWI convictions. Their license has been suspended after a DWI conviction that was punishable as an enhanced DWI offense.
If you drive a company vehicle as part of your job, however, youll need to have that conversation. Texas law requires those who choose to get an IID to restore their driving privileges with a restricted license to have this device installed in any vehicle theyll be driving.
Medical Exemption If the driver gives the DMV proof that they have a medical condition or impairment that prevents them from being able to either fully operate an IID or to operate the device safely.

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As an example, in California, the Department of Motor Vehicles states that if you have an IID restriction, you can only drive a vehicle equipped with an Interlock Device, and you must not attempt to bypass, tamper with, or remove the device.
Generally, the following items are required for a successful installation appointment: Two valid forms of identificationone of which should include a photo of you. Proof of residence. Any and all court documents that may be relevant to your Ignition Interlock Device requirement or your restricted driving period.

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