Form TC 94-188 template
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Kentucky Ignition Interlock Program Affordability Application
This document is an instruction for indigent applicants to apply for fee reductions under the Kentucky Ignition Interlock Program (KIIP). The form requires applicant information, eligibility information, and applicant signature. Eligibility is based on household size and income, which must be below 200% of the Federal Poverty Guidelines. Applicants are required to submit federal tax returns, paystubs, W-2 or 1099 for verification of household income. The document also outlines penalties for false statements and the option to request a hearing if denied reduced fees.
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