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TC94178 Rev.08/2015 Page1of1 KENTUCKY TRANSPORTATION CABINET Department of Vehicle Regulation DIVISION OF DRIVER LICENSING CERTIFICATE OF REMOVAL FOR IGNITION INTERLOCK DEVICE INSTRUCTIONS This form.

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How to fill out the TC 94-178.docx - Transportation Ky online

Filling out the TC 94-178 form is an essential step for users needing to obtain a certificate of removal for their ignition interlock device. This guide will provide you with clear instructions on how to successfully complete this document online.

Follow the steps to accurately fill out the TC 94-178 form online.

  1. Press the 'Get Form' button to access and open the TC 94-178 form in your preferred editing tool.
  2. In Section 1, provide your driver information. Enter your full name, mailing address, city, state, and ZIP code. Also, include your residential street address, driver’s license number, plate number, vehicle identification number (VIN), year, and make/model of the vehicle.
  3. In Section 2, fill in the installer statement information. This includes the name and phone number of the individual who installed the ignition interlock device, along with the street address, city, state, and ZIP code of the installer.
  4. In Section 3, provide the device provider information. Enter the company name, phone number, and full address, including city, state, and PO box (if applicable). Specify the device model number.
  5. In Section 4, include the signature and date section. Print the name of the individual who removed the device, enter the removal date, and provide their signature.
  6. Once all fields are filled out correctly, you can choose to save your changes, download the document, print it, or share it as needed.

Complete your TC 94-178 form online today for a smooth processing experience.

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