Ignition Interlock Participation Agreement

Attachment A

Ignition Interlock Agreement This is an agreement between the Department of Public Safety, Driver and Vehicle Services and ______________________________. As part of this agreement the participant agrees to the following terms and condition: 1.

Participant must drive only a motor vehicle equipped with a functioning and certified ignition interlock device during the entire program until notified by Driver and Vehicle Services that they are eligible to have the device removed.

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2.

Participant must not tamper with, circumvent or otherwise misuse the device. Any suspected violation will be evaluated by the Department and sanctions may be imposed. These sanctions could include removal from the program and non-credit for the revocation time period spent using the ignition interlock device.

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3.

Participant is responsible for all reports indicating use of alcohol by the ignition interlock device. Any indication of use of alcohol detected by the device will be considered use of alcohol by the participant and will be taken into consideration when the Department of Public Safety evaluates the participant’s driving privileges.

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4.

Participants who have a no use of alcohol or drug restriction on their driver license will be considered in violation of that restriction if alcohol is detected by the ignition interlock device and they will be subject to cancellation for a longer time period.

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5.

Participant must have their vehicle calibrated by a licensed service provider and serviced every 30 days or as indicated by the interlock device

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6.

Participant is responsible for understanding how to use the ignition interlock device and will be responsible for any misuse of the device.

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7.

Participant must provide proof of insurance for the vehicle equipped with the ignition interlock device.

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8.

Participant must indemnify and hold harmless the State of Minnesota and any political subdivision, the Department and its officers, employees and agents from all claims, demands and actions as a result of property damage and or injury or death to persons which may arise, directly or indirectly, out of any act or omission by the participant during the use of an ignition interlock device.

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9.

Participant is responsible for all cost incurred from the participant in the program.

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I have read the above the conditions and by signing this agreement understand that any violation of these conditions may result in sanction being imposed. These sanctions may include removal from the program and/or non-credit for the revocation time period spent using the ignition interlock device.

Signed ____________________________________________

Date________________

Participant’s: Name____________________________ Address _______________________________________ Telephone Number___ ___________________ Email Address ____________________________