PrintResetOffice of the Secretary of State DEPARTMENT OF ADMINISTRATIVE HEARINGSBAIID QUESTIONNAIRERm. 212 Howlett Bldg. 17 N. State, Ste. 1200 501 S. 2nd St. Chicago, IL 60602 Springfield, IL 62756 2177822192 www.cyberdriveillinois.comYOU.

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How to fill out the IL DAH H 67 online

Filling out the IL DAH H 67 form is an essential step in requesting the necessary permits related to the installation of a Breath Alcohol Ignition Interlock Device (BAIID). This guide will help you through each section of the form to ensure you provide all required information accurately.

Follow the steps to fill out the IL DAH H 67 form online.

  1. Press the ‘Get Form’ button to access the IL DAH H 67 form. This will allow you to obtain the document and open it in your editing application.
  2. Begin by completing the first section regarding the type of permit you are requesting. Check the appropriate box next to 'Employment', 'Medical', 'Support', 'Educational', 'Family Education', 'Day Care', or 'BAIID Required RDP'.
  3. Next, list the vehicle or vehicles where the BAIID will be installed. Include the make, model, and year of each vehicle. Be sure to circle the vehicles that you own.
  4. Indicate how many other drivers reside in your household. You need to provide their names, ages, and relationships to you.
  5. If you are requesting a work permit to drive a personal vehicle, state your specific occupation in the corresponding field.
  6. Answer whether you are requesting a permit to drive a personal vehicle to and from work and/or on the job by checking 'Yes' or 'No' for each question.
  7. For those requesting a work permit to drive a work vehicle, indicate whether you are allowed to take this vehicle home and if it can be used for personal purposes by checking 'Yes' or 'No' for each question.
  8. Provide any additional information regarding your employment that may be relevant to your driving needs.
  9. Finally, complete the certification section. Provide the current date, and print your name, driver’s license number, and signature. Additionally, provide your home and work telephone numbers.

Complete your documents online to ensure a smooth submission process.

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