Get Employer Declaration Form
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Employer Declaration Form online
Filling out the Employer Declaration Form online is a straightforward process that allows eligible individuals to secure an exemption for driving without an ignition interlock device. This guide provides step-by-step instructions to ensure users complete the form accurately and efficiently.
Follow the steps to fill out the form correctly.
- Click the ‘Get Form’ button to access the Employer Declaration Form and open it in your preferred online interface.
- In the Employee section, print or type your full name in the designated fields, including your last name, first name, and middle initial.
- Enter your Washington driver license number in the corresponding field to verify your identity.
- Provide your date of birth to confirm your age and eligibility.
- Fill in your daytime telephone number, including the area code, to ensure your employer can contact you regarding this request.
- In the Employer section, enter the name of your employer or the name of a representative as applicable.
- Input the company name and their telephone number, making sure to include the area code.
- Record the UBI number and the company's street address, ensuring all details are accurate for identification purposes.
- Complete the city, state, and ZIP code fields to finalize the employer information.
- Acknowledge that the employee is required to operate a vehicle during working hours that is owned, leased, rented, or in temporary care of the company.
- Sign the form under the declaration statement and include the date and place where you signed.
- Save the completed form, and then print it out. Remember to have your employer review and sign the employer section.
- Once all signatures are obtained, email, fax, or mail the completed form to the specified addresses for submission.
Complete your documents online to streamline your process and secure your exemption efficiently.
The declaration form is used to collect essential information from employees about their financial circumstances or other relevant details. This form provides clarity about the employee’s situation, which helps in decision-making for hiring, promotions, or financial assistance. When used effectively, an Employer Declaration Form can enhance communication and foster a transparent workplace.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.