Florida Department of Highway Safety and Motor Vehicles · Florida state form
BAR1003 Affidavit of Refusal to Submit to Blood Test
BAR1003 records an officer’s account of a driver’s refusal to submit to a blood test after receiving the implied consent warning.
- What this form is
- A law enforcement or correctional officer completes BAR1003 to document a driver’s refusal to submit to a requested blood test. The affidavit records information about the officer, agency, driver, request, warning, and refusal. The document states that it must be notarized or attested to. It 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 uses this affidavit to document a driver’s refusal to submit to a requested blood test.
- Why it needs a notary
- The affidavit must be notarized or attested to. Notarization can be completed 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.
Questions
Who completes BAR1003?
The document identifies the person completing it as a duly certified law enforcement or correctional officer. It records the officer’s agency and account of the blood-test request and refusal.
Does BAR1003 need to be notarized?
Yes. The form states that the affidavit must be notarized or attested to. If notarized, this can be done online with a commissioned online notary.
How do I submit BAR1003?
Mail or hand deliver it to the designated Bureau of Administrative Reviews office. Include the driver’s license, the appropriate copy of the UTC, and the probable cause affidavit.