Get Application For Ignition Interlock Assistance - Courts Mn

The Application For Ignition Interlock Assistance - Courts Mn is a vital form for individuals seeking financial support for ignition interlock installation. This guide will walk you through the step-by-step process to complete the application effectively online.

Follow the steps to fill out the application accurately.

1. Press the ‘Get Form’ button to access the application. This will open the form for you to begin completing it.
2. Type or print your full name in the designated area, including your last name, first name, and middle initial.
3. Provide your daytime phone number to ensure that the courts can contact you if necessary.
4. Fill in your home address, including street, city, and zip code. If your mailing address is different, complete the mailing address section as well.
5. Enter your Minnesota driver license number and date of birth in the appropriate fields.
6. List the name and contact information of your probation agent. This helps in ensuring proper communication regarding your application.
7. Indicate your license status by checking the appropriate box: Revoked, Cancelled, or Valid.
8. Confirm your residency by selecting the response that indicates whether you are lawfully present in the U.S. and a resident of the Minnesota Fifth Judicial District.
9. Indicate whether you have mailed or faxed the ignition interlock participation agreement and any other necessary documents to the Minnesota Department of Public Safety.
10. Answer if an ignition interlock device is already installed in your vehicle. If yes, please provide the installation date.
11. Complete the eligibility information section by providing the total number of persons in your household, and indicate if you are employed, unemployed, or self-employed.
12. Specify your child support payment arrangement by entering the amount and selecting whether it is paid monthly or weekly.
13. Certify the accuracy of your information by signing and dating the application at the end.
14. For department use only, ensure you leave this section blank, as it is for court staff to complete.
15. Submit your completed application by returning it to Miranda Rosa at the address provided, or using the email or fax number listed.

Begin your application process online today to secure the ignition interlock assistance you may qualify for.