CO DR 2058 2010-2024 free printable template
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DR 2058 05/27/10 COLORADO DEPARTMENT OF REVENUE Division Of Motor Vehicles Driver Control Section RESTRICTED LICENSE IGNITION INTERLOCK AGREEMENT AFFIDAVIT Name CO PIN Address City State ZIP As a condition of my reinstatement pursuant to 42-2-132 C. If your driving privilege was restored by providing an Affidavit of Non-Ownership the basic drive test will be postponed until your renewal to a non-restricted license or until you have a vehicle equipped with an approved interlock device. A...
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How to fill out mandatory voluntary interlock requirement
How to fill out interlock affidavit:
01
Obtain the interlock affidavit form from the appropriate agency or organization. This may be available online or through a local office.
02
Carefully read through the instructions provided with the interlock affidavit form. Make sure you understand all the requirements and any supporting documentation that may be needed.
03
Fill in your personal information accurately and truthfully. Provide details such as your name, address, date of birth, and contact information.
04
Include any relevant details about your vehicle, such as the make, model, and license plate number.
05
Provide information about the interlock device installation. Include the date of installation, the name of the service provider, and any other required details.
06
Sign the affidavit and date it. Make sure to review your filled-out form for any errors or missing information before signing.
07
Submit the completed interlock affidavit to the appropriate agency or organization as instructed. This may involve mailing it, submitting it online, or visiting a local office in person.
Who needs interlock affidavit:
01
Individuals who have been convicted of a DUI (Driving Under the Influence) or related offense may be required to complete an interlock affidavit.
02
Certain states or jurisdictions may have specific laws mandating the use of ignition interlock devices for individuals with DUI convictions. These individuals may need to submit an interlock affidavit to fulfill legal requirements.
03
Additionally, those individuals who have been granted restricted driving privileges, which may include the use of an interlock device, may also need to submit an interlock affidavit as part of the process.
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What is interlock affidavit?
An interlock affidavit is a document signed by an employer that certifies that an individual has been released from a court-ordered sentence of an ignition interlock device. This affidavit is required by certain states and jurisdictions to prove that the individual has satisfactorily completed the requirements of their sentence and is free to drive without the device.
How to fill out interlock affidavit?
1. Start by filling out your basic personal information such as name, address, phone number, date of birth, and driver’s license number.
2. Sign and date the affidavit.
3. Provide the details of the interlock device you are installing in your vehicle. This includes the make and model, the date and time of installation, and the installation location.
4. List all of the vehicles that you own or operate.
5. Provide the details of the interlock program you are enrolled in, including the name of the provider, start date, and end date.
6. Provide the details of the ignition interlock violation(s) that prompted the installation of the device, including the date(s) of the violation(s).
7. Provide the details of any other court-ordered conditions that you must comply with.
8. Agree to the terms and conditions of the interlock program.
9. Have the affidavit notarized.
Who is required to file interlock affidavit?
The specific requirements for filing an interlock affidavit may vary depending on jurisdiction. However, in many cases, individuals who have been convicted of driving under the influence (DUI) or driving while intoxicated (DWI) offenses are required to file an interlock affidavit. This affidavit is typically filed by individuals who are seeking to have an ignition interlock device installed in their vehicle as a condition of regaining their driving privileges.
What is the purpose of interlock affidavit?
An interlock affidavit is a legal document that is used to verify and confirm compliance with interlock device requirements.
The purpose of an interlock affidavit is primarily to provide proof that an individual has installed an ignition interlock device (IID) in their vehicle, as mandated by a court or administrative agency. This device is typically required for individuals who have been convicted of driving under the influence (DUI) or other alcohol-related offenses.
By signing an interlock affidavit, the individual attests that they have installed the IID in their vehicle and understand the responsibilities and requirements associated with its use. This includes adherence to any scheduled maintenance and calibration, regular monitoring, and reporting of any violations or tampering with the device.
In many jurisdictions, submitting an interlock affidavit is necessary for regaining driving privileges after a DUI conviction. It serves as evidence of compliance with the mandated IID program and helps ensure public safety by preventing individuals from driving while under the influence of alcohol.
What information must be reported on interlock affidavit?
The specific information that must be reported on an interlock affidavit may vary depending on the jurisdiction and the specific requirements set forth by the relevant government agency. However, some common information that is typically required on an interlock affidavit includes:
1. Personal information: This includes the full legal name, date of birth, social security number, and contact details of the individual submitting the affidavit.
2. Vehicle details: The affidavit usually requires information about the vehicle(s) on which the interlock device will be installed, including the make, model, year, license plate number, and Vehicle Identification Number (VIN).
3. Interlock device details: This section typically requires the details of the interlock device that will be installed, such as the manufacturer, model number, serial number, and the date it was installed.
4. Installation information: The affidavit may ask for the name and contact information of the installation provider who installed the interlock device.
5. Compliance with requirements: The affidavit may include statements or questions related to compliance with interlock program requirements, such as whether the individual has completed any necessary training or education programs, maintained compliance with interlock device calibration and servicing, and complied with any reporting obligations.
It is important to consult the specific guidelines and instructions provided by the relevant government agency or legal counsel to ensure that all required information is included on the interlock affidavit as per the jurisdiction's regulations.
What is the penalty for the late filing of interlock affidavit?
The penalty for the late filing of an interlock affidavit can vary depending on the jurisdiction. In some states, there may be a monetary fine imposed for filing the affidavit late. Additionally, in some cases, the driver's license suspension period may be extended if the interlock affidavit is not filed on time. It is important to check with the specific state's Department of Motor Vehicles or relevant governing body for the accurate penalties and consequences associated with late filing of an interlock affidavit.
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