Employer Declaration for Ignition Interlock License

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

What is this form?

The Employer Declaration for Ignition Interlock License is a legal document that allows an employee whose license has been suspended or revoked due to DUI to drive employer-owned vehicles without an ignition interlock device. This form is crucial for companies whose employees operate vehicles during work hours, providing a formal declaration that outlines the need for licensing waivers under specific state laws.

Main sections of this form

  • Employee information: Includes the name and driver license number of the employee.
  • Employer details: Contains the company name, contact information, and business license number.
  • Statement of need: A declaration from the employer confirming that the employee is required to operate a vehicle during work hours.
  • Signature section: Requires the printed name and signature of the employer along with the date and location of signing.

Common use cases

This form should be used when an employee needs to drive a company vehicle but is subject to an ignition interlock requirement due to a DUI offense. It serves to formally document the employer's acknowledgment of the employee’s situation and is necessary for compliance with state regulations regarding suspended driver licenses.

Who this form is for

This form is intended for:

  • Employees with a suspended or revoked driver license due to DUI who need to drive employer-owned vehicles.
  • Employers who wish to declare the necessity for their employees to operate company vehicles under these conditions.

How to prepare this document

  • Fill in the employee's full name and driver license number.
  • Provide the employer's company name, contact number, and business license number.
  • Clearly state the need for the employee to operate a company vehicle during work hours.
  • Have the employer's printed name and signature added, along with the date and location of signing.
  • Submit the completed form to the relevant department, along with a copy for personal records.

Is notarization required?

This form usually doesn’t need to be notarized. However, local laws or specific transactions may require it. Our online notarization service, powered by Notarize, lets you complete it remotely through a secure video session, available 24/7.

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Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

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Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

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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.

Form selector

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

Common mistakes

  • Failing to include the employee's complete name and driver license number.
  • Omitting the employer's signature or the date of signing.
  • Not providing the required employer contact information.
  • Forgetting to submit a copy of the form to the relevant state department.

Why complete this form online

  • Convenient access to the form at any time, allowing for quick completion and submission.
  • Editable templates ensure all necessary details can be easily filled out and customized.
  • Reliability of using professionally drafted legal forms by licensed attorneys to comply with state regulations.

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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