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Ignition Interlock Device (IID) Program Enrollment

Please provide details requested below:


Please provide below information of customer requesting enrollment into IID Program:


Please provide contact information below:

All vehicles listed below are required to have the IID device installed in addition to any other vehicles operated by the applicant
Please upload all required documents listed below.

Documents should be in PDF format.
Maximum file size is limited to 4 MB

I declare under penalty of perjury that the uploaded document(s) and the information on the document(s) is true and correct and has not been altered in any manner. Any person(s) using a fictitious name or address and/or knowingly making any false statements on the uploaded document(s) is in violation of DC Law and subject to a fine of not more than $1,000 or 180 days imprisonment or both. (DC Official Code § 22-2405).

Document Information
Please review the sections below. Select button to confirm that the information is accurate. Select button to make changes.
Once you have verified that all information is accurate, you can select the ‘Confirm’ button to submit the request.
First Name:  
Last Name:  
Middle Name:  
Date of Birth:  
Eye Color:  
Mobile Phone Number:  
Alternate Phone Number:  
First Name:  
Last Name:  
Date of Birth:  
DLN / ID Card:  
Last 5 Digit SSN:  
Mobile Phone Number:  
Alternate Phone Number:  
Insurance Company:  
Policy Number:  
Policy Effective Date:  
Policy Expiration Date:  
Non-Refundable Application Fee:  

Transaction has been completed successfully!

Your request for enrollment with the IID Program has been processed successfully. You will be notified via email within 3 business days regarding the status of your application. Please print receipt using the 'Print Receipt' button below.

Confirmation Details
 Fee Information