Get 735-6941 Ignition Interlock Device Iid Medical Exemptiion - Odot State Or
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How to fill out the 735-6941 Ignition Interlock Device IID Medical Exemption - Odot State Or online
The 735-6941 Ignition Interlock Device IID Medical Exemption form is designed for individuals who may need an exemption from the ignition interlock device due to medical reasons. This guide will provide detailed steps to assist you in accurately filling out the form online, ensuring you comply with the requirements set forth by the appropriate agencies.
Follow the steps to complete the form online securely and correctly.
- Press the ‘Get Form’ button to access the form and open it in your preferred editing tool.
- Fill out Section 1, which captures your personal information. This includes your driver license or customer number, date of birth, full name (last, first, middle), and residential address (street, city, state, zip code). Make sure to specify the agency requiring the IID installation through the options provided.
- In Section 1, explain how your medical condition affects your ability to operate an IID. Provide a detailed description to clarify your situation.
- Provide the completed form to your health care provider, who will fill out Section 2 with their information and insights regarding your medical condition.
- Section 2 requires the health care provider to enter their name, specialty, license number, mailing address, fax number, and telephone number. They must also detail the medical condition they treat you for, specify if the condition is temporary or permanent, and confirm the inability to operate an IID.
- Your health care provider will then sign and date the form, confirming the accuracy of their information.
- After both sections are completed, you or your health care provider should submit the form to the appropriate agency, such as the court or DMV. If approved, make sure to keep a copy as specified.
- Finally, ensure to save any changes made, download a copy, print the form for your records, or share it when necessary.
Complete your documents online today to ensure compliance with ignition interlock device requirements.
Related links form
If You Need to Jump-Start Your Car If your battery has died, and you need to jump-start your IID-equipped vehicle, it's possible, but you need to take a few extra steps. If your state allows it, disconnect the handset unit from the curly cord before you connect jumper cables or a charger to your battery.
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