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  • Wa 3000-110-197 2013

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F BIRTH STREET ADDRESS CITY / STATE / ZIP CODE M DRIVER S LICENSE NUMBER CDL ENDORSED? STATE DATE / TIME OF ARREST F COUNTY OF ARREST CASE / CITATION NUMBER (CHECK IF YES) BAC Readings: 1st Sample 2nd Sample Refused Test The subject was lawfully arrested. At that time, there were reasonable grounds to believe that the arrested person had been driving or was in actual physical control of a motor vehicle within this state while under the influence of intoxicating liquor or drugs,.

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How to fill out the WA 3000-110-197 online

The WA 3000-110-197 form, known as the DUI arrest report, is essential for documenting incidents involving driving under the influence. This guide provides a clear, step-by-step approach to help users successfully complete this form online.

Follow the steps to complete the WA 3000-110-197 form effortlessly.

  1. Press the ‘Get Form’ button to access the WA 3000-110-197 form and open it in your document editor.
  2. Begin by entering the subject's name, including their last name, first name, and middle initial. Ensure accuracy as this information is crucial for identification.
  3. Fill in the gender, date of birth, and address, including the city, state, and ZIP code. This information must be current to maintain proper documentation.
  4. Provide the driver’s license number along with the CDL endorsed information if applicable. Indicate the state of issuance.
  5. Record the date and time of the arrest, as well as the county where the arrest occurred. Ensure that these details accurately reflect the incident.
  6. Enter the case or citation number, which is critical for legal tracking and reference.
  7. Document the BAC readings. Include the results from the first and second samples, or indicate if the test was refused.
  8. Use the checkboxes to confirm that the subject was lawfully arrested and the specifics of the breath test administered.
  9. Complete the section regarding the driver's hearing request information and understand the notice of the right to a hearing.
  10. Add the signature of the driver and the date to finalize the form. Make sure to include all necessary primary contact details.
  11. Once completed, save your changes to the document, and then choose to download, print, or share the WA 3000-110-197 form as needed.

Complete your documents online to ensure accuracy and efficiency.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
WA 3000-110-197
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