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Employer declaration for ignition interlock exemption

Employer declaration for ignition interlock device form 2025

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The document is an Employer Declaration form for individuals required to have an ignition interlock device installed in their vehicles. It outlines the steps employees must take to complete the form, including providing personal information and obtaining employer signatures. The completed form must be carried while driving for work and submitted to the Department of Licensing in Washington.

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Click ‘Get Form’ to open the employer declaration for ignition interlock device form in the editor.
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 in the designated fields.
Next, move to the employer section. Input the name of your employer or representative, their company telephone number, company name, UBI number, and complete address including city, state, and ZIP code.
Ensure that your employer reviews and signs the declaration statement confirming that you are required to operate a vehicle during working hours. This is crucial for compliance.
Once completed, save your document. Print a copy to carry while driving for your employer and send another copy to the Restricted License Department as instructed.

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2016	4.8 Satisfied (158 Votes)
2011	4.3 Satisfied (243 Votes)

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Do cops know if you have an interlock device?

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.

Is interlock mandatory in Texas?

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.

Is an interlock required for occupational license in Texas?

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.

Can I drive a work vehicle without an interlock device in Texas?

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.

What is a medical exemption for IID?

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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Key Facts about the Employer Declaration for Ignition Interlock Device

Mandatory Form Completion

Driving Restrictions

Submission Requirements

Legal Declaration

Contact Information for Accommodations

Required Personal Information

Employer Identification Details

Mandatory Form Completion

Employees must complete their section of the form and have their employer fill out and sign the employer section.

Driving Restrictions

The employee is only permitted to drive vehicles during working hours that are owned, leased, rented, or temporarily assigned by the employer.

Submission Requirements

A copy of the completed form must be carried while driving for the employer and sent to the Restricted License Department of Licensing in Olympia, WA.

Legal Declaration

The employer must declare under penalty of perjury that the information provided in the form is true and correct.

Contact Information for Accommodations

For accommodations related to services, individuals can contact (360) 902-3900 or TTY (360) 664-0116.

Required Personal Information

The form requires personal details such as name, date of birth, Washington driver license number, and daytime telephone number from the employee.

Employer Identification Details

Employers need to provide their name, company name, UBI number, and address on the form.

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Can you drive a different car if you have a breathalyzer?

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.

What do you need for an ignition interlock 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.

Employer declaration for ignition interlock device form 2025

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How to use or fill out employer declaration for ignition interlock device form with our platform

See more employer declaration for ignition interlock device form versions

Complete this form in 5 minutes or less

Got questions?

Do cops know if you have an interlock device?

Is interlock mandatory in Texas?

Is an interlock required for occupational license in Texas?

Can I drive a work vehicle without an interlock device in Texas?

What is a medical exemption for IID?

Key Facts about the Employer Declaration for Ignition Interlock Device

Mandatory Form Completion

Driving Restrictions

Submission Requirements

Legal Declaration

Contact Information for Accommodations

Required Personal Information

Employer Identification Details

Mandatory Form Completion

Driving Restrictions

Submission Requirements

Legal Declaration

Contact Information for Accommodations

Required Personal Information

Employer Identification Details

Complete this form in 5 minutes or less

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