Florida Department of Highway Safety and Motor Vehicles · Florida state form

BAR1002A Affidavit of Refusal to Submit to Urine Test

BAR1002A documents a commercial driver’s refusal to submit to a requested urine test and records the officer’s account of the implied consent warning.

What this form is

A law enforcement or correctional officer completes BAR1002A to report a driver’s refusal to submit to a requested urine test. The affidavit records arrest and test-request details, the warning given about license suspension and CDL disqualification, and the driver’s refusal. The form must be notarized or attested to and is submitted with the driver’s license, the appropriate copy of the UTC, and the probable cause affidavit.

Who needs it

A law enforcement or correctional officer completes this affidavit when documenting a driver’s refusal to submit to a requested urine test.

Why it needs a notary

The affidavit must be notarized or attested to. If notarizing, the signature can be notarized online with a commissioned online notary.

How to submit it

Mail or hand deliver the affidavit to the designated Bureau of Administrative Reviews office with the driver’s license, appropriate copy of the UTC, and probable cause affidavit.