Ignition Interlock Calibration Verification
California · Judicial Council of California · Effective January 1, 2021
This form is used to record that an ignition interlock device has been checked and confirmed to be working correctly. It asks for details about the defendant, the installer, the vehicle, and the calibration settings.
Where this fits in a case
General & infoInformation / general use — not tied to one step of a case
This form is used in a criminal case to document the verification of an ignition interlock device, which is required by law.
Prepared by the court or clerk.
Official instructions
How-to guides published by the court for this form.
Common questions
- Who fills out this form?
- The form includes sections for the installer to sign and sections for the defendant to sign. It is also for court use only.
- What information does this form collect?
- It collects details like the defendant's name, the installer's name, the vehicle's information, and the calibration settings of the interlock device.
Revision history
No changes recorded since we started tracking this form on October 9, 2026. The current version took effect January 1, 2021.
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