Get Au F4868 2015

The AU F4868 form is essential for individuals who hold an Alcohol Ignition Interlock Program exemption and need to inform the Department of Transport and Main Roads about changes to their circumstances. This guide provides clear, step-by-step instructions to assist you in completing the form online effectively.

Follow the steps to complete the AU F4868 form online.

1. Click ‘Get Form’ button to access the AU F4868 form and open it in your preferred editing platform.
2. Begin by entering your personal details. This includes your family name, given names, residential address, postcode, postal address (if different), date of birth, email address, daytime contact phone number, mobile phone number, and customer reference number.
3. In the section regarding changes to medical conditions, indicate whether you currently hold an interlock exemption based on a medical condition that affects your ability to provide a breath sample. If applicable, provide details of any changes and attach any necessary documentation from your doctor.
4. Next, if your interlock exemption is based on residing in a remote location, indicate if you have moved to a new address and provide the new residential address details.
5. If you have previously lived on an island as a basis for your exemption and have changed your address, confirm this and enter the new residential address if required.
6. For users who may face severe hardship under their exemption, assess if your circumstances have changed. Select the appropriate category of severe hardship and provide necessary details.
7. In the declaration section, affirm that all provided information is accurate and complete. Sign the form, include date, and if necessary, the details of a delegated person.
8. Once all sections are completed and verified for accuracy, save your changes. You may download, print, or share the completed form as necessary.

Complete your AU F4868 online today to ensure your interlock exemption remains in effect.