Form VL-081 template
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Certification of Enrollment in an Impaired Driver Rehabilitation Program
This form is for initial Ignition Interlock Device Restricted Driver’s License (RDL) applications only
This document is a Certification of Enrollment in an Impaired Driver Rehabilitation Program (IDRP) for obtaining an Ignition Interlock Device Restricted Driver's License in Vermont. The applicant must have completed an alcohol and driving education program approved by IDRP and submit this form along with the Certification of Ignition Interlock Device Installation (VL-082). The form includes sections for the applicant to fill out their personal information, such as name, address, social security number, gender, eye color, height, weight, place of birth, Vermont Driver License Number, expiration date of current license, phone number, email address, and a waiver. The authorized IDRP agent completes the last section to certify the applicant's enrollment in or completion of an alcohol and driving education program.
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