Follow the steps to complete the Alcohol Influence Report online.

1. Click the ‘Get Form’ button to access the Alcohol Influence Report. This action will open the form in your browser for editing.
2. Begin by filling out the top section of the form, which includes information about the defendant. Enter their first name, last name, age, initial, sex, weight, eye color, case number, and sequential file number.
3. Next, in the 'Arrested by' section, provide the name of the law enforcement officer or department involved in the arrest.
4. Proceed to fill in the chemical breath test information. Select the type of breathalyzer used (either Model 900 or Model 900A) and enter the instrument serial number. Additionally, input the lot number for the ampoule control.
5. Document the purge result percentage and the samples taken, including the date and time of each sample.
6. For blood alcohol levels, record the results for each test conducted (up to four tests). Indicate the results in the designated spaces provided.
7. In the 'Breathalyzer Check List,' ensure all applicable boxes are marked with an 'X' or checkmark, following the checklist phases: Set Up Phase, Preparation Phase, Purge Phase, and Analysis Phase.
8. For the verification of the breath test operator, complete the sections for their rank, signature, badge number, date, and time.
9. Finally, review all information entered for accuracy. You can then save your changes, download, print, or share the completed Alcohol Influence Report as necessary.

Complete your Alcohol Influence Report online today for a streamlined and efficient filing process.