West Virginia Division of Motor Vehicles · West Virginia state form
DMV-21-DU Alcohol and Drug Test and Lock Program Application
Apply to the Division of Motor Vehicles’ Alcohol and Drug Test and Lock Program for restricted driving privileges after a DUI revocation.
- What this form is
- The DMV-21-DU application is for drivers seeking admission to the Alcohol and Drug Test and Lock (INTERLOCK) Program. It collects applicant, vehicle, insurance, and program information, and includes eligibility requirements, participant rules, a vehicle owner consent section, and a violation policy. The application states that it must be completed in full and signed where required to be processed.
- Who needs it
- Drivers with an active DUI revocation who want to apply for the INTERLOCK Program and restricted driving privileges need this application.
- Why it needs a notary
- The vehicle owner’s consent on page 4 must be sworn before a notary. You can complete this notarization online with a commissioned online notary.
- How to submit it
- Mail the completed application, completed violation policy, and the application processing fee by check or money order to the West Virginia Division of Motor Vehicles, PO Box 17060, Charleston, WV 25317.
Questions
Who can apply for the INTERLOCK Program?
The application lists minimum requirements, including an active DUI revocation, being at least 18 years old, and owning the vehicle or having the owner’s written approval for device installation.
How do I submit the DMV-21-DU application?
Mail the completed application, completed violation policy, and application processing fee by check or money order to the DMV address printed on the form. The form says regional offices cannot process it.
Does this application need to be notarized?
The vehicle owner’s consent section on page 4 includes a notary jurat and signature line. When that section applies, the owner’s signature must be notarized, including online with a commissioned online notary.