Employer Declaration for Ignition Interlock License

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Multi-State
Control #:
US-03193BG
Format:
Word; 
Rich Text
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What this document covers

The Employer Declaration for Ignition Interlock License is a legal document that enables individuals with a suspended or revoked driver's license due to driving under the influence (DUI) to operate employer-owned vehicles equipped with ignition interlock devices. This form is essential for those seeking to waive the ignition interlock device requirement while driving during working hours.

Form components explained

  • Employee's full name and driver license number
  • Date of birth and daytime telephone number
  • Employer's company name and contact details
  • Statement affirming the employee's requirement to operate employer vehicles
  • Employer's declaration under penalty of perjury

When this form is needed

This form should be used when an individual with a suspended or revoked driver’s license is issued an ignition interlock license and needs to drive employer-owned vehicles that lack ignition interlock devices. It's particularly relevant for those who must commute or conduct work-related activities using these vehicles.

Who should use this form

  • Employees who have suspended or revoked licenses due to DUI offenses
  • Employers whose vehicles are needed for employee work purposes
  • Individuals looking to comply with state ignition interlock regulations

Completing this form step by step

  • Enter the employee's full name, including last, first, and middle initial.
  • Provide the name of the state issuing the driver's license along with the driver's license number and date of birth.
  • Fill in the employer's company name, telephone number, and UBI number.
  • Include the company street address, city, state, and zip code.
  • Ensure the employer signs and dates the declaration under penalty of perjury.

Is notarization required?

This form does not typically require notarization unless specified by local law.

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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.

Mistakes to watch out for

  • Failing to include the employee's complete name and driver license number.
  • Not providing accurate employer contact information.
  • Missing the employer's signature or date on the declaration.

Benefits of using this form online

  • Convenient access to editable legal templates.
  • Reliable, attorney-drafted content to ensure compliance with local laws.
  • Quick download for immediate use, saving time and effort.

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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