Get Kansas Ignition Interlock Installation / Removal Verification

The Kansas ignition interlock installation/removal verification form is essential for documenting the installation or removal of ignition interlock devices. Completing this form accurately ensures compliance with state requirements and facilitates clear communication between service providers and users.

Follow the steps to complete the form accurately

1. Click ‘Get Form’ button to access the form and open it in the editing interface.
2. Locate the section for the driver's information. Enter your full name, date of birth, address, city, state, and zip code in the specified fields.
3. Provide your driver license number and the state that issued your driver's license in the designated areas.
4. Decide whether you are filling out the form for installation or removal. If it is for installation, complete the corresponding fields under the 'Installation' section: include the date of installation, the name of the approved Kansas service provider, model number of the device, provider phone number, and signature of the provider.
5. If it is for removal, populate the respective fields within the 'Removal' section by entering the date of removal, the name of the approved Kansas service provider, model number of the device, provider phone number, and the signature of the provider.
6. If multiple installations or removals have taken place, repeat steps 4 and 5 as necessary, ensuring each entry is completed accurately.
7. Once all necessary sections of the form are filled out, review the information for accuracy and completeness.
8. Finalize your form by choosing to save changes, download, print, or share the document as needed.

Complete your document online with confidence and ensure all information is submitted correctly.