Employer Declaration for Ignition Interlock License

State:
Multi-State
Control #:
US-03193BG
Format:
Word; 
Rich Text
Instant download

Understanding this form

The Employer Declaration for Ignition Interlock License is a legal form that allows individuals with a suspended or revoked driver’s license due to driving under the influence (DUI) to operate employer-owned vehicles without an ignition interlock device. This declaration must be signed by the employer and is specific to circumstances where employees need to drive during work hours under certain conditions. It is essential for those using an Ignition Interlock Driver License while driving company vehicles.

What’s included in this form

  • Employee’s full name and driver license number
  • Date of birth and daytime telephone number of the employee
  • Employer company name, contact number, and address
  • Declaration statement ensuring the employee is required to operate an employer vehicle
  • Printed name and signature of the employer
  • Date and place of the employer's signature

When this form is needed

This form should be used when an employee with a suspended or revoked license needs to drive a vehicle owned by their employer that does not have an ignition interlock device installed. It is particularly relevant in states that allow a waiver for the interlock requirement when an employer provides this declaration.

Who needs this form

  • Individuals applying for or holding an Ignition Interlock Driver License
  • Employees required to operate employer-owned vehicles without an interlock device
  • Employers who need to make a formal declaration regarding an employee's driving status

Instructions for completing this form

  • Enter the employee's full name and driver license number.
  • Provide the employee's date of birth and daytime phone number.
  • Fill in the employer's company name, telephone number, and business address.
  • The employer must sign and print their name, along with the date and location of the signature.
  • Indicate the business license number if applicable.

Notarization guidance

This form does not typically require notarization unless specified by local law. However, it's advisable to check any jurisdiction-specific requirements related to notarization.

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If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

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We protect your documents and personal data by following strict security and privacy standards.

Avoid these common issues

  • Failing to include accurate employee information.
  • Not ensuring the employer's signature is present.
  • Omitting date and place of the employer’s signature.
  • Using incorrect or outdated versions of the form.

Why complete this form online

  • Convenient access to a downloadable format, allowing users to fill it in at their convenience.
  • Ensures that all necessary fields are included, reducing the chance of errors.
  • Quickly editable for specific state requirements.
  • Reliable and secure, with guidance provided alongside the form.

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FAQ

When you are charged with a DUI, you are liable to suffer a variety of penalties, most commonly a license suspension, fines and court fees, and potentially some jail time. Recently, many states have begun to require offenders to install an ignition interlock device, even for first-time DUI charges.

Ignition interlock devices are difficult to use or unreliable. Ignition interlocks can be bypassed by an air compressor or inflated balloon. You can drive without a court-ordered ignition interlock without any trouble. Ignition interlocks are harmful to vehicles.

If you want to drive after your licence is reinstated, you must have an ignition interlock device installed. You will need to register with an approved interlock service provider to have the device installed. It must be inspected regularly by the service provider.

All states allow drivers to submit a second breath test if they fail the first one. However, if they provide a second failed sample, they may experience a lockout. This means they will be unable to start the car after a certain amount of time passes.

If you attempt to bypass or remove your ignition interlock device before your 1-year requirement program is up, your driving privileges will be suspended.If your drivers license has already been reinstated, your license will be suspended again.

Generally speaking, failing an interlock test is considered a violation, and this data will be sent to your state regulatory authority. They will ultimately use this data to make a decision about your continued participation in the program.

Because Alcohol Interlock Devices can detect trace amounts of alcohol from other products, the effective limit required to operate your vehicle is BAC < 0.020.If you fail or miss a random/rolling retest (BAC recorded above 0.02) this is considered a violation.

Refusing or failing to get the device installed. Driving or even attempting to drive a vehicle without an IID. Failing one or more startup tests. Failing a rolling retest. Missing or intentionally skipping a rolling retest. Asking someone else to take the breath test for you. Tampering with or attempting to remove the IID.

There are many myths about tricking a car breathalyzer into believing a person hasn't been drinking. There are many myths about tricking a breathalyzer into believing a person hasn't been drinking. In short, beating a car breathalyzer, formally known as an ignition interlock device (IID), is nearly impossible.

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Employer Declaration for Ignition Interlock License