Agreement

By checking this box, I certify I have read the IMPAIRED DRIVING ACCOUNTABILITY PROGRAM AGREEMENT and as the Participant, do hereby acknowledge and agree that I must strictly comply with the following terms and conditions set forth in the agreement to obtain an IDAP Certification of Completion from BOT. *

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Ignition Interlock Company Provider *

Install Date * Install Date must be on or before Today's date.

City *

State *

Oklahoma Board of Tests

for Alcohol and Drug Influence

BOT IDAP Enrollment Form

Agreement

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