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MC 393

Certification to Department of State (Interlock Program)

Michigan · Michigan State Court Administrative Office · Effective April 1, 2026

This form is used to officially tell the Department of State about an ignition interlock device related to a court case. It includes sections for the court to certify information about the defendant and the device.

The court describes it as: Court rule / statute: MCL 257.304, MCL 600.1084

Open the official PDFfrom Michigan State Court Administrative Office

Where this fits in a case

General & info

Information / general use — not tied to one step of a case

This form is used in a criminal case to certify details about an ignition interlock device to the Department of State.

Prepared by the court or clerk.

Common questions

Who fills out this form?
The form has sections for the court to fill out, and it is distributed to the Department of State and the Court. The judge must sign it.
What is this form for?
It is a certification to the Department of State regarding an interlock program. It confirms details about the device and the defendant's status in court.
Does this form involve a fee?
The provided text does not mention any filing fees for this form.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect April 1, 2026.

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