Get the free Ignition Interlock Referral Form - Total Court Services

State of: Michigan Indiana Ohio (please circle) American Interlock, Ltd. Total Court Services, LLC (TCS) MI Fax: 248.691.2968 IN & OH Fax: 877.475.6535 COURT REFERRAL FORM MUNICIPAL COURT # DISTRICT

How to fill out ignition interlock referral form

How to Fill Out Ignition Interlock Referral Form:

1. Obtain the form: You can typically get the ignition interlock referral form from your local Department of Motor Vehicles or online on their website. Make sure you have a copy of the current form before proceeding.
2. Personal information: Start by filling out your personal details accurately. This includes your full name, address, phone number, and driver's license number. Double-check the information for any errors or typos.
3. Vehicle information: Provide the necessary information regarding the vehicle involved, such as the make, model, year, and license plate number. Include any additional details that may be required, such as the VIN (Vehicle Identification Number) or registration number.
4. Offense details: Specify the reason behind the ignition interlock referral. State whether it is a DUI (Driving Under the Influence), DWI (Driving While Intoxicated), or any other relevant offense. If you have the case or citation number, include it on the form as well.
5. Dates and duration: Indicate the dates of the offense, as well as the start and end dates for the ignition interlock program. This information helps establish the timeframe during which the device will be installed on your vehicle.
6. License suspension information: If your license has been suspended or is at risk of being suspended, provide the details on the form. This may include the dates of suspension or the pending hearing dates.
7. Authorized installer: Depending on your jurisdiction, you might need to choose an authorized installer from a list provided by the Department of Motor Vehicles. Select the preferred installer and include their contact information on the form.
8. Signature and submission: Once you have completed all the necessary sections of the form, sign and date it. Read through the form again to ensure accuracy and completeness. Submit the form to the relevant authority, which is usually the Department of Motor Vehicles or the court handling your case.

Who needs Ignition Interlock Referral Form:

1. Individuals convicted of DUI or DWI: The ignition interlock referral form is typically required for individuals who have been convicted of driving under the influence or driving while intoxicated. It is a mandatory step in most jurisdictions to regain driving privileges.
2. Drivers with a suspended license: If your driver's license has been suspended due to alcohol-related offenses, you may need to fill out the ignition interlock referral form to comply with the requirements for license reinstatement. This form demonstrates your commitment to installing the necessary device in your vehicle.
3. Those seeking restricted driving privileges: In some cases, individuals may be allowed restricted driving privileges during their license suspension period, provided they have an ignition interlock device installed. To apply for these privileges, filling out the ignition interlock referral form is usually necessary.

Note: The specific requirements for who needs the ignition interlock referral form may vary depending on your jurisdiction and the severity of the offense. It is advisable to consult with your local Department of Motor Vehicles or an attorney to understand the precise regulations and procedures applicable in your area.

For pdfFiller’s FAQs

What is ignition interlock referral form?

The ignition interlock referral form is a document used to refer individuals who are required to have an ignition interlock device installed in their vehicle.

Who is required to file ignition interlock referral form?

Individuals who have been ordered by the court to have an ignition interlock device installed in their vehicle are required to file the ignition interlock referral form.

How to fill out ignition interlock referral form?

The ignition interlock referral form can be filled out by providing the necessary information such as the individual's personal details, court order information, and details about the installation of the ignition interlock device.

What is the purpose of ignition interlock referral form?

The purpose of the ignition interlock referral form is to ensure that individuals who are required to have an ignition interlock device installed in their vehicle comply with the court's order.

What information must be reported on ignition interlock referral form?

The ignition interlock referral form must include information about the individual's personal details, court order information, and details about the installation of the ignition interlock device.

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