Get Employer Declaration Form
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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 employee declaration is a formal statement made by an employee that outlines important details related to their employment. This declaration often includes information about their financial obligations or the status of their employment. By employing an Employer Declaration Form, organizations can ensure that they have complete and accurate information to support their workforce decisions.