Chapter 1, Section D. Interlock and Limited License
Requirements for Issuance of an Ignition Interlock License:
1.Positive proof of identification.
2. Proof of financial responsibility consisting of:
a) vehicle liability insurance policy or insurance certification;
b) insurance binder;
c) state Treasurer’s Certificate of Deposit; or
d) Surety Bond Certificate issued by MVD’s Mandatory Insurance Section
Insurance documentation must name the applicant as the insured or as a covered driver; and must include the name of
the insurance company, policy number, effective date and expiration date of coverage.
3.Proof that each motor vehicle to be operated by the applicant is equipped with an ignition interlock device (current
contract or certificate of installation.
4.Properly completed and notarized form MVD-10456, “Affidavit For Ignition Interlock License” available on the MVD
intranet and public TRD-MVD internet forms pages
5.$63.00 (Ignition Interlock License Fee) – Payable only if the application is approved and the license is issued (Class D, E or
M only).
6.Legislation enacted in the 2010 Legislative Session and effective July 1, 2010 requires a $50.00 ignition interlock fee to be
collected by MVD as an add-on fee when we issue an Ignition Interlock license. The fee will be charged as part of the
Tapestry issuance process, to every Ignition Interlock license applicant who has not been qualified as indigent with the
Traffic Safety Bureau (TSB). Every customer who qualifies as indigent with TSB is placed on a list that is communicated to
TRD-MVD and reflected in Tapestry. If the customer is on the TSB indigent list, the $50.00 fee will not be charged. If the
customer is charged the $50.00 fee, but claims that he or she is in fact indigent, the transaction should not be completed,
and the customer should be directed to contact the TSB to pursue indigent qualification.