AZ INTOX 8000 Breath Alcohol Recert – New User Account Registration
- Please fill out all fields on this form.
- Please add your first name, middle name, and last name. Adding a last name only will not be accepted for account creation.
- Internet Explorer may not work with this form. We suggest using Google Chrome, Microsoft Edge, Safari, or Firefox as the preferred internet browser.
Once you have submitted the form, you will receive a confirmation email. Your account will be created within one business week, and we will notify you via email at that time.