Driver and Vehicle Services

A Division of the Minnesota Department of Public Safety

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Ignition Interlock

Program Guidelines

Ignition Interlock Device Program Forms

Certified Ignition Interlock Manufacturers

Frequently Asked Questions

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Ignition Interlock Device Program Forms

Revoked Status

If you are in a revoked status, you must fill out the forms below to enroll in the Ignition Interlock Device Program.


PS31202	Ignition Interlock Participation Agreement (01/2021)	Apply for the Ignition Interlock Device Program
PS31086	Special Review Awareness(01/2021) (Applies only to the second offense)	Notice of multiple alcohol and/or controlled substance offenses on their driving record

Canceled IPS Status

If you are in a canceled-IPS status, you must fill out the forms below to enroll in the Ignition Interlock Device Program.

PS31202

Ignition Interlock Participation Agreement (01/2021)

Apply for the Ignition Interlock Device Program

PS31203

Application for Ignition Interlock Limited License (03/2021)

(Canceled drivers only)

Apply for a limited license with the Ignition Interlock Device Program

PS31083

Last Use Statement Form (01/2021)

(Canceled drivers only)

Attest to abstinence from the consumption of alcohol and controlled substances

Additional Ignition Interlock Device Forms

PS31205

Employment Exemption for Ignition Interlock (01/2021)

Apply to exempt an employer’s vehicle from the ignition interlock requirements; certain restrictions apply

PS31204

Reduced Fee for Ignition Interlock Servicing and Monitoring(01/2021)

Apply for a reduced fee for ignition interlock device servicing and monitoring; must be approved by the Department

PS31208

Voluntary Withdrawal from the Ignition Interlock Program(01/2021)

Requesting voluntary withdrawal from the Ignition Interlock Device Program

PS31211

Request for Administrative Review (01/2021)

If you have received an ignition interlock program violation, you are entitled to an administrative review of the violation.

Ignition Interlock Device Program Documents

Program Guidelines

Certified Manufacturers (Vendors) List

Checklist – Revoked

Checklist – Canceled

Strengthened DWI Sanctions Fact Sheet

Impaired DWI Consequences

Road back to Driving

DWI EZ Guide

Complaint Form