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Please read the following instructions carefully. Start on editing, signing and sharing your Wisconsin Ignition Interlock Exemption online under the guide of these easy steps: Click on the Get Form or Get Form Now button on the current page to direct to the PDF editor. See Interlock Installation and Monitoring for a complete listing, and choose the one that best fits your needs. Regulated Programs Ignition Interlock For more information on the Social Security Card Application Fee, visit or call our toll-free number:. If you have a complaint about fees charged, please contact your provider directly. The person must provide us with a completed Driver License/ID Cancellation Request. Fill exemption for ignition interlock device form: Form Popularity medical exemption for ignition interlock device form, Get, Create, Make and Sign medical exemption for ignition interlock device form. If you are arrested for a Drug / Medication DUI charged with Arizona Revised Statute 28-1381(A)(3) there is one way in which you would not have to have an Ignition Interlock Device if convicted of a Drug / Medication DUI. Your IID cost is determined by: Features you are required to have (camera, real-time reporting, GPS, etc. The law requires all newly installed, transferred or replaced devices to be equipped with a camera, GPS, and real time reporting capabilities. Adobe InDesign CC 2017 (Windows) location designated for the purpose of parenting time as defined in A.R.S. If a driver was required to use an ignition interlock device he/she could continue to operate his/her's employer's vehicle without an interlock device. None of the Alcohol boxes can be checked: If any of the above highlighted areas are checked with Alcohol, then it does not comply with A.R.S. NCSL conducts policy research in areas ranging from agriculture and budget and tax issues to education and health care to immigration and transportation. Under Count 1, a person will normally be charged with DUI Impaired to the Slightest Degree by the Consumption of Alcohol, Use of Drugs or Medications, or Use of Vapor Releasing Substance, or a Combination Thereof, pursuant to A.R.S.