Free ID-140 Ignition Interlock Removal and Modification to Probation Order (Ignition Interlock Device) - California

ID-140
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: FOR COURT USE ONLY

NAME OF DEFENDANT: STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: HOME TELEPHONE NO.: WORK TELEPHONE NO.: DRIVER'S LICENSE NO.:

IGNITION INTERLOCK REMOVAL AND MODIFICATION TO PROBATION ORDER (Ignition Interlock Device)

CASE NUMBER:

1.

Order to change vehicles. The above-named defendant has approval of the court to change the ignition interlock device ) to another vehicle. (system serial number: a. Remove from vehicle: Model Make

Year

Color

License Plate No. and/or VIN

b. Reinstall in vehicle: Make

Model

Year

Color

License Plate No. and/or VIN

2.

Order for additional installation. The above-named defendant must install an ignition interlock device on the vehicle designated below by (date): Model Year Color License Plate No. and/or VIN Make

3. 4.

Order to remove device. Additional orders:

Date:

I acknowledge receipt of this order.

(TYPE OR PRINT NAME)

(SIGNATURE OF DEFENDANT)

Date:
JUDICIAL OFFICER OF THE SUPERIOR COURT

Page 1 of 1 Form Approved for Optional Use Judicial Council of California ID-140 [Rev. July 1, 2008]

IGNITION INTERLOCK REMOVAL AND MODIFICATION TO PROBATION ORDER (Ignition Interlock Device)

Vehicle Code, §§ 23575, 23576 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com