CR-222 - Ignition Interlock Installation Verification

Summary

Ignition Interlock Installation Verification

Text

Form ID: CR-222
Title: Ignition Interlock Installation Verification
Effective Date: 2021-01-01
Mandatory Form: no
Info Page: https://selfhelp.courts.ca.gov/jcc-form/CR-222
Primary Download URL: https://www.courts.ca.gov/documents/cr222.pdf
Form Detail Page:
Ignition Interlock Installation Verification
(CR-222)
Tells the court that the offender has gotten an ignition interlock device installed in cars the offender uses.
Get form CR-222
Effective: January 1, 2021
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How-to instructions for Criminal
PDF Text:
Form Approved for Optional Use  
Judicial Council of California  
CR-222 [Rev. January 1, 2021]
IGNITION INTERLOCK INSTALLATION VERIFICATION Vehicle Code, § 23575
www.courts.ca.gov
CR-222
FOR COURT USE ONLY
CASE NUMBER:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF:
STREET ADDRESS:
MAILING ADDRESS:
CITY: STATE: ZIP CODE:
BRANCH NAME:
NAME OF DEFENDANT:
STREET ADDRESS:
MAILING ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE NO.: FAX NO.:
EMAIL ADDRESS:
DRIVER'S LICENSE NO.:
DATE OF COURT ORDER:
IGNITION INTERLOCK INSTALLATION VERIFICATION
1. Manufacturer:
2. Facility Location (address):
3. Vehicles:
Make Model Year Color License Plate No. VIN:
a.
b.
c.
4. Serial nos. of units: a. b. c.
5. Odometer reading: a. b. c.
6. Date of installation: a. b. c.
7. Date of next monitor check: a. b. c.
I declare that the information provided is true and correct.
Date:
(TYPE OR PRINT NAME OF INSTALLER)
 (SIGNATURE OF INSTALLER)
Defendant: return a completed and signed form to the court.
For installer use only:
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  Form ID: CR-222 Title: Ignition Interlock Installation Verification Effective Date: 2021-01-01 Mandatory Form: no Info Page: https://selfhelp.courts.ca.gov/jcc-form/CR-222 Primary Download URL: https://www.courts.ca.gov/documents/cr222.pdf Form Detail Page: Ignition Interlock Installation Verification (CR-222)…