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SmartMobile™ Removal Authorization

The following client is authorized to have their SmartMobile™ Alcohol Monitoring Device removed as of the date noted below.

This form is intended for monitoring authorities to approve the discontinuation of someone’s SmartMobile™ device/program.

If you are attempting to have an Ignition Interlock removed from your vehicle, please refer to the Device Removal page instead.

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Please upload any official documentation that may be required to authorize the removal.
    Drop files here or
  • This field is for validation purposes and should be left unchanged.