In the realm of ensuring public safety and compliance with court orders, the ID-120 form, established by the Superior Court of California, plays a crucial role in the oversight of ignition interlock devices. This comprehensive form serves as a detailed report that covers various aspects of the ignition interlock devices installed in vehicles of individuals convicted of DUI offenses. From the basic information such as the defendant's and installer's details to more technical data including the device's installation date, calibration settings, and evidence of tampering, the form encapsulates all necessary checkpoints to ensure the device's proper functioning and compliance with court orders. It also specifies the financial aspects involved, detailing payments for the services rendered. The importance of this form cannot be understated, as it not only aids in monitoring compliance but also in safeguarding the community by preventing DUI offenders from operating a vehicle without the mandated device. The ID-120 form embodies a vital link in the chain of measures aimed at reducing repeat offenses and promoting road safety.
| Question | Answer |
|---|---|
| Form Name | Form Id 120 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | draeger ignition interlock, california interlock calibration, california ignition interlock calibration, 2005 |
SUPERIOR COURT OF CALIFORNIA, COUNTY OF |
FOR COURT USE ONLY |
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
NAME OF DEFENDANT:
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
HOME TELEPHONE NO.:
WORK TELEPHONE NO.:
DRIVER'S LICENSE NO.:
DATE OF COURT ORDER:
IGNITION INTERLOCK
CASE NUMBER:
CALIBRATION VERIFICATION
TAMPER REPORT
1.Defendant's name:
2.Installer's name:
Address:
City, state, ZIP: Telephone:
3.Vehicles:
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Model |
Year |
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c. |
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This is the |
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yearly report (if relevant). |
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Installation date: |
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Odometer reading: |
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b. |
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Calibration setting: |
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b. |
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Unit serial No.: |
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9. Program to end (date): |
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The system is in calibration. |
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The system has been inspected and is functioning properly. |
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The ignition interlock devices installed in vehicles |
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a. |
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(Describe/additional comments): |
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Color
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b.
License Plate No. |
VIN |
c.
c.
c.
c.
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c. |
c. |
show evidence of tampering. |
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13. Payment of $ |
+ sales tax $ |
Total collected $ |
paid by |
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Credit card |
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b. |
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Money order/cashier's check/certified check |
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c. |
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Cash/personal check |
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I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:
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(SIGNATURE OF INSTALLER) |
DEFENDANT: Your next monitoring check is (date): |
. If you have not had your system serviced within seven days of |
the due date, the system will shut down and you will be unable to start your car. It will be your responsibility to have your car towed to the calibration location.
Your next payment of $is due at the above monitoring check. Payment must be made in full before service is performed. If payment is not made, the system may shut down and you may not be able to start your car. This will result in a service call that will be your responsibility. You may be required to make an additional payment for late payments.
I acknowledge receipt of a copy of this form.
Date:
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(SIGNATURE OF DEFENDANT) |
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Distribution: Court, Manufacturer or Manufacturer's Agent, Defendant, Probation Department |
Page 1 of 1 |
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Form Approved for Optional Use |
IGNITION INTERLOCK CALIBRATION |
Vehicle Code, § 23575 |
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Judicial Council of California |
www.courtinfo.ca.gov |
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VERIFICATION AND TAMPER REPORT |
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(Ignition Interlock Device)