Family Law SmartMobile Enrollment Form

"* (required)" indicates required fields

Client Information

Date of Birth* (required)
Program Start Date

The client is required to pick up their device and begin the program by:

Customized Test Windows

Use the fields below to set up a schedule that's specifically tailored for your client, with Scheduled or Random testing. You can specify up to 10 tests each day by clicking on the plus symbol on each line.

PLEASE NOTE: If you choose not to customize testing, test windows will automatically be scheduled for 6 a.m. to 8 a.m.; Noon to 2 p.m.; 5 p.m. to 7 p.m.; 9 p.m. to 11 p.m.

Sunday

SUNDAY

Start
End
Timing
 
Monday

MONDAY

Start
End
Timing
 
Tuesday

TUESDAY

Start
End
Timing
 
Wednesday

WEDNESDAY

Start
End
Timing
 
Thursday

THURSDAY

Start
End
Timing
 
Friday

FRIDAY

Start
End
Timing
 
Saturday

SATURDAY

Start
End
Timing
 

Reporting Notifications

Choose up to four recipients to receive reports via email.

PLEASE NOTE: A release document will be required for each report recipient. We will send you the appropriate forms as needed.

If you are enrolled or are an attorney/court representing a client in the Family Law Program, and need to make changes to your account, please email familylaw@smartstartinc.com.

Monitoring Contacts
Name *
Address
Email *
Phone Number
 
This field is for validation purposes and should be left unchanged.