Transfer Request

To request transfer of your interlock device, from one vehicle to another, please complete and submit the below form.

Please note: most states require transfers to be completed same-day (i.e. the removal and installation must be completed within 24 hours).

First Name

Last Name

Your Email Address

Phone Number

Driver's License #

Current Installed Vehicle (year/make/model)

New Vehicle to be Installed (year/make/model)

Smart Key or Push-Button Start?
YesNo

Hybrid or Electric Vehicle?
YesNo

Reporting State

Device Handset #