The following forms and documents are related to the Ignition Interlock Device Program.

Upload ignition interlock forms

Enroll as a driver with revoked status

Form or document	When to use
Revoked status checklist	Ensure you completed the necessary steps to enroll.
Ignition Interlock participation agreement (PS31201)	​​Apply for the Ignition Interlock Device Program.
Special review awareness (PS31086)	​Acknowledge multiple alcohol or controlled substance offenses on your driving record.

Enroll as a driver with canceled - inimical to public safety (IPS) status

Form or document	When to use
Canceled IPS status checklist	Ensure you completed the necessary steps to enroll.
Ignition Interlock participation agreement (PS31201)	Apply for the Ignition Interlock Device Program.
Last use statement (PS31083)	​Attest to abstinence from the consumption of alcohol and controlled substances.

Additional forms

Form	When to use
Employment exemption for Ignition Interlock (PS31205)​	Apply to exempt an employer’s vehicle from the ignition interlock requirements.
Reduced fee for Ignition Interlock servicing and monitoring (​PS31204)	​Apply for a reduced fee for ignition interlock device servicing and monitoring .
Request for reinstatement (PS3001)	You may be able to apply for an exemption from Ignition Interlock if you are a revoked driver who doesn’t own or lease a vehicle.
Voluntary withdrawal from the Ignition Interlock program (​PS31208)	​Request voluntary withdrawal from the Ignition Interlock Device Program.
Request for administrative review (PS31211)	Request an administrative review if you have received an ignition interlock program violation.
Complaint form (PS31210)	Complete if you are not satisfied with your certified ignition interlock vendor or service provide and you've already tried contacting the provider. Note: Before submitting this form, contact the provider directly.