Mv3617 Form PDF Details

The MV3617 form, issued by the Wisconsin Department of Transportation, serves a critical role in the legal and administrative arenas, directly impacting individuals who are navigating the complexities associated with ignition interlock exemptions and the removal of title transfer stops. Crafted under the statutes s. 342.12(4) and s. 343.301 of the Wisconsin Statutes, this form is meticulously designed to ensure a structured process for those seeking relief from ignition interlock device requirements on their vehicles or addressing title transfer issues flagged by the department. It requires detailed information including court and personal identification, vehicle specifics, and an explicit section for court orders related to the exemption and removal requests. The form accommodates exemptions for mopeds and motorcycles, acknowledging the unique circumstances that may not necessitate the same level of monitoring as other vehicles. Moreover, by providing a clear pathway for the removal of title transfer stops, it plays a fundamental role in the ownership and legal standing of vehicles within the state. The procedural aspect of submitting the form, which can be done via fax or mail, coupled with contact information for inquiries, streamlines the process for individuals and legal practitioners alike. The MV3617 form essentially balances legal requirements with practical applications, ensuring that individuals can maintain their mobility and legal rights while adhering to the state's safety and regulatory standards.

QuestionAnswer
Form NameMv3617 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesiid exemption wisconsin, mv3617 dmv form, ignition interlock exemption wisconsin, wisconsin iid exemption form

Form Preview Example

ORDER FOR IGNITION INTERLOCK EXEMPTIONS AND REMOVING TITLE TRANSFER STOPS

Wisconsin Department of Transportation (WisDOT)

MV3617

5/2015

s. 342.12(4) and s. 343.301 Wisconsin Statutes

Clear

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5 Digit Court Code

 

 

 

 

 

 

County

 

 

                                                                                         

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Nothing in this order permits the defendant to operate the vehicles identified below while his/her operating privilege remains restricted unless ignition interlocks are installed and used in the vehicles; the court’s order restricting the driver to operating only vehicles equipped with ignition interlock devices remains unchanged.

IGNITION INTERLOCK EXEMPTION

Exempt all mopeds and motorcycles for which the defendant’s name appears on the vehicle’s certificate of title or registration at the

time of this order from ignition interlock

Exempt vehicle(s) listed below from ignition interlock:

 

Year

Make

Vehicle Identification Number (standard VIN has 17 characters)

 

 

 

 

License Plate Number

 

 

 

 

Not Exempt

                   

                             

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Year

Make

Vehicle Identification Number (standard VIN has 17 characters)

 

 

 

 

License Plate Number

 

 

 

 

Not Exempt

                   

                             

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Vehicle Identification Number (standard VIN has 17 characters)

 

 

 

 

License Plate Number

 

 

 

 

Not Exempt

                   

                             

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Vehicle Identification Number (standard VIN has 17 characters)

 

 

 

 

License Plate Number

 

 

 

 

Not Exempt

                   

                             

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Vehicle Identification Number (standard VIN has 17 characters)

 

 

 

 

License Plate Number

 

 

 

 

Not Exempt

                   

                             

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Vehicle Identification Number (standard VIN has 17 characters)

 

 

 

 

License Plate Number

 

 

 

 

Not Exempt

                   

                             

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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REMOVE TITLE TRANSFER STOP

The court hereby authorizes release of any title-transfer stop imposed by the department under Wis. Stat. s. 342.12(4) for the vehicles identified below.

Year

                   

Make

                             

Vehicle Identification Number (standard VIN has 17 characters)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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License Plate Number

 

 

 

 

 

 

 

 

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Reason for Denial

                             

FAX completed form to (608) 267-6966

OR MAIL to:

Vehicle Records – OWI

Wisconsin Department of Transportation

PO Box 8070, Madison, WI 53708-8070

X

 

                             

FOR QUESTIONS, call (608) 266-1466

(Judge’s Signature)

(Date – m/d/yyyy)

 

 

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Provide the expected details in the Year, Make, Vehicle Identification Number, License Plate Number, Not Exempt, Not Exempt, Not Exempt, Not Exempt, Not Exempt, Not Exempt, Year, Make, Vehicle Identification Number, License Plate Number, and Year box.

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