Get Kansas Ignition Interlock Device Indigency Program Application

This guide will help you navigate the process of completing the Kansas Ignition Interlock Device Indigency Program Application online. By following the steps outlined in this guide, you can ensure that your application is filled out accurately and submitted correctly.

Follow the steps to complete your application online.

1. Click ‘Get Form’ button to access the Kansas Ignition Interlock Device Indigency Program Application and open it in your preferred editing tool.
2. Begin filling out the applicant’s information. This includes the applicant's name (last, first, middle initial), date of birth, Kansas driver’s license number or equivalent, and daytime telephone number.
3. Provide eligibility information, indicating the total number of persons in your household, including yourself. If you are under age 21, specify whether you live with parents and, if applicable, state their names.
4. Detail your monthly income. You must provide documentation such as recent pay stubs or a filed federal tax return. Fill out each income source: self and spouse’s pay, contributions from others, and any additional income like interest or public assistance.
5. List your monthly expenses, capturing averages for basic living costs, which may include shelter, food, utilities, and any other necessary expenses.
6. Disclose your liquid assets by listing cash, bank accounts, stocks, bonds, and equity in real estate or vehicles.
7. Indicate any benefits you are receiving and ensure you attach proof of these benefits, as the service provider cannot process your application without this.
8. Certify the information provided by signing and dating the application. Ensure that your printed name is also included.
9. Review your completed form for accuracy and completeness, save your changes, and prepare to download, print, or share the completed application as needed.

Complete your Kansas Ignition Interlock Device Indigency Program Application online today to ensure you receive the assistance you need.