Florida Department of Highway Safety and Motor Vehicles · Florida state form
BAR1001 Affidavit of Refusal to Submit to Breath Test
BAR1001 records an officer’s affidavit that a driver refused a requested breath test after receiving the stated implied consent warnings.
- What this form is
- A law enforcement or correctional officer completes BAR1001 to document a driver’s arrest, the request to submit to a breath test, the warnings given, and the driver’s refusal. The form includes fields for the driver, officer, agency, arrest and test-request details, and citation number. The affidavit must be notarized or attested to, and the form gives instructions for delivery to the designated Bureau of Administrative Reviews office.
- Who needs it
- A law enforcement or correctional officer uses this affidavit to document a driver’s refusal to submit to a requested breath test.
- Why it needs a notary
- The affidavit must be notarized or attested to. If notarizing, this can be done online with a commissioned online notary.
- How to submit it
- Mail or hand deliver the affidavit to the designated Bureau of Administrative Reviews office, Department of Highway Safety and Motor Vehicles, with the driver’s license, appropriate UTC copy, and probable cause affidavit.
Questions
Who completes BAR1001?
A duly certified law enforcement or correctional officer completes the affidavit to document the arrest, breath-test request, warnings, and driver’s refusal.
Does BAR1001 need to be notarized?
Yes. The form says the affidavit must be notarized or attested to. Notarization can be done online with a commissioned online notary.
How should the completed affidavit be submitted?
Mail or hand deliver it to the designated Bureau of Administrative Reviews office with the driver’s license, appropriate copy of the UTC, and probable cause affidavit.