New Hampshire Code of Administrative Rules
Saf - Department of Safety
Subtitle Saf-C - Commissioner, Department of Safety
Chapter Saf-C 6500 - ALCOHOL IGNITION INTERLOCK DEVICE
Part Saf-C 6503 - APPROVAL OF INTERLOCK SERVICE PROVIDERS
Section Saf-C 6503.01 - Application for Licensing as an Approved Interlock Service Provider
Current through Register No. 40, October 3, 2024
(a) Any person wishing to become an approved interlock service provider shall complete and submit form FRMV 100, "Interlock Service Provider Application", revised 06/2022.
(b) The applicant shall certify knowledge of the ignition interlock program and device requirements listed on the application and, if an initial applicant, the applicant's intent to comply prior to commencing operations, or, if a renewal applicant, the applicant's present compliance with those requirements, by indicating 'Yes' or 'No' on the Form FRMV 100, revised 06/2022.
(c)
FRMV 100, "Interlock Service Provider Application", revised 06/2022 forms may
be obtained in person, by mail, or electronically at
(d) Completed application forms shall be submitted to the:
Department of Safety
Division of Motor Vehicles
Financial Responsibility Bureau
23 Hazen Drive
Concord, NH 03305
(e) All applications shall be reviewed by the division in accordance with RSA 541-A:29.
(f) Applicants shall be notified of any apparent errors or omissions and allowed to resubmit the form to the division.
(g) In the event an applicant fails to comply with applicable laws or rules, the application shall not be processed and the applicant shall be notified of the reason(s) for the rejection.
(h) If the applicant is not a sole proprietorship, the person submitting the application shall provide along with the completed FRMV 100, "Interlock Service Provider Application" revised 06/2022, a notarized certificate of authority evidencing authority to bind the applicant, as well as a current certificate of good standing issued by the New Hampshire secretary of state.
(i) The applicant shall sign and date FRMV 100 "Interlock Service Provider Application" revised 06/2022 under the penalties of unsworn falsification pursuant to RSA 641:3.
(j) By signing the form, the applicant is certifying that:
#7996, eff 12-1-03; ss by #10082, eff 1-31-12