Follow the steps to successfully submit your application online

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Begin by printing or typing your information in the designated fields. Fill in your full name, including your last name, first name, and middle initial. Ensure you provide your Washington driver license number and date of birth.
3. Enter your daytime telephone number and email address. This information is essential for communication regarding your application status.
4. Fill out your eligibility information, starting with the total number of people living in your household. If you are under 21, indicate whether you live with your parents and list their names if applicable.
5. In the income section, provide proof of monthly income. You should attach the last two months of pay stubs, a recent federal tax return, or W-2s. If you have no income, submit a signed statement explaining your situation.
6. Detail your monthly income by reporting the take-home pay from yourself and your partner, contributions from anyone living with you, and any additional income sources such as interest or dividends.
7. Next, input your monthly expenses, including basic living costs and any unusual expenses like bail obligations.
8. Provide information regarding your liquid assets, such as cash, savings accounts, stocks, and equity in real estate or vehicles necessary for employment.
9. Check any additional benefits you receive and attach proof of these benefits. Make sure to include any documentation that supports your eligibility.
10. Finally, review the application for accuracy, print it, and sign where indicated. Make a note of the date and place where the form is signed.
11. Submit the completed application along with all required attachments to the Department of Licensing via mail or fax as specified in the instructions.

Complete your Augusta Ignition Interlock Device Financial Assistance Application Form online today to take the next step toward securing necessary assistance.