The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02

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Here is the text we could read:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

FOR COURT USE ONLY

CR-223

STATE:

ZIP CODE:

STATE:

FAX NO.:

ZIP CODE:

IGNITION INTERLOCK CALIBRATION VERIFICATION

CASE NUMBER:

MAILING ADDRESS:

CITY:

BRANCH NAME:

NAME OF DEFENDANT:

STREET ADDRESS:

MAILING ADDRESS:

CITY:

TELEPHONE NO.:

EMAIL ADDRESS:

DRIVER'S LICENSE NO.:

DATE OF COURT ORDER:

1. Defendant's name:

Installer's name:

Address:

City:

Telephone no.:

3. Vehicles:

State:

Zip Code:

Make

Model

Year

Color

License Plate No.

VIN:

a.
b.
c.

Date:

Installation date:

5. Odometer reading:
6. Calibration setting:

7. Unit serial no.:

8. Program to end (date):
9.

The system is in calibration

10.
11. Payment of $

The system has been inspected and is functioning properly.

+ sales tax $

Total collected $

paid by

Credit card
Money order/cashier's check/certified check
Cash/personal check

I declare that the information provided is true and correct.

DEFENDANT: Your next monitoring check is (date):
days after a missed monitoring check, the system will shut down and you will be unable to start your car. It will be your responsibility
to have your car towed to the calibration location. You may also owe a missed appointment fee.
Your next payment of $
is due at the above monitoring check. Payment must be made in full before service is performed. If
payment is not made, the system may shut down and you may not be able to start your car. This will result in a service call that will be
your responsibility. You may be required to make an additional payment for late payments.

. If you have not had your system serviced within a few

(SIGNATURE OF INSTALLER)

I acknowledge receipt of a copy of this form.

Form Approved for Optional Use
Judicial Council of California
CR-223 [Rev. January 1, 2021]

IGNITION INTERLOCK CALIBRATION VERIFICATION

(SIGNATURE OF DEFENDANT)

Page 1 of 1

Vehicle Code, § 23575
www.courts.ca.gov

Ignition Interlock Calibration Verification

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 1
Fields(s): 75
Average fields per page: 75
Reading Level: Grade 7
LIST Grouping(s): Unknown

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

c_r_page_p_case_number was CR-223[0].Page1[0].P1Caption[0].CaseNumber[0].CaseNumber[0] (0.58 conf)
c_r_page_p_caption_atty_party_info_crt_county was CR-223[0].Page1[0].P1Caption[0].AttyPartyInfo[0].CrtCounty[0] (0.35 conf)
c_r_page_p_caption_atty_party_info_crt_street was CR-223[0].Page1[0].P1Caption[0].AttyPartyInfo[0].CrtStreet[0] (0.35 conf)
c_r_page_p_party_info__1 was CR-223[0].Page1[0].P1Caption[0].AttyPartyInfo[0].CrtMailingAdd[0] (0.40 conf)
c_page_p_party_info_city was CR-223[0].Page1[0].P1Caption[0].AttyPartyInfo[0].City[0] (0.40 conf)
c_page_p_party_info_state was CR-223[0].Page1[0].P1Caption[0].AttyPartyInfo[0].State[0] (0.40 conf)
c_r_page_p_caption_info__1 was CR-223[0].Page1[0].P1Caption[0].AttyPartyInfo[0].Zip[0] (0.40 conf)
c_r_page_p_party_info__2 was CR-223[0].Page1[0].P1Caption[0].AttyPartyInfo[0].Branch[0] (0.40 conf)
c_r_page_p_info_name was CR-223[0].Page1[0].P1Caption[0].CourtInfo[0].Name[0] (0.38 conf)
c_r_page_p_info_street was CR-223[0].Page1[0].P1Caption[0].CourtInfo[0].Street[0] (0.38 conf)
c_r_page_p_caption_info__2 was CR-223[0].Page1[0].P1Caption[0].CourtInfo[0].CrtMailingAdd[0] (0.40 conf)
c_r_page_p_info_city was CR-223[0].Page1[0].P1Caption[0].CourtInfo[0].City[0] (0.38 conf)
c_r_page_p_info_state was CR-223[0].Page1[0].P1Caption[0].CourtInfo[0].State[0] (0.38 conf)
c_r_page_p_caption_info__3 was CR-223[0].Page1[0].P1Caption[0].CourtInfo[0].Zip[0] (0.38 conf)
c_r_page_p_info_phone was CR-223[0].Page1[0].P1Caption[0].CourtInfo[0].Phone[0] (0.38 conf)
c_r_page_p_caption_info__4 was CR-223[0].Page1[0].P1Caption[0].CourtInfo[0].Fax[0] (0.38 conf)
c_r_page_p_info_email was CR-223[0].Page1[0].P1Caption[0].CourtInfo[0].Email[0] (0.38 conf)
c_r_page_p_caption_info__5 was CR-223[0].Page1[0].P1Caption[0].CourtInfo[0].Driver[0] (0.38 conf)
c_page_p_title_party_name was CR-223[0].Page1[0].P1Caption[0].TitlePartyName[0].Party2[0] (0.34 conf)
c_page_list_item_text_field__1 was CR-223[0].Page1[0].List1[0].item1[0].TextField1[0] (0.39 conf)
c_page_list_item_text_field__2 was CR-223[0].Page1[0].List2[0].item2[0].TextField2[0] (0.39 conf)
c_r_page_list_item_address was CR-223[0].Page1[0].List2[0].item2[0].Address1[0] (0.34 conf)
c_r_page_list_item_city was CR-223[0].Page1[0].List2[0].item2[0].City1[0] (0.34 conf)
c_r_page_list_item_state was CR-223[0].Page1[0].List2[0].item2[0].State1[0] (0.34 conf)
c_r_page_list_item_zip was CR-223[0].Page1[0].List2[0].item2[0].Zip1[0] (0.34 conf)
c_r_page_list_item_phone was CR-223[0].Page1[0].List2[0].item2[0].Phone1[0] (0.34 conf)
c_r_page_list_lia_fill_text__1 was CR-223[0].Page1[0].List3[0].Lia[0].FillText1[0] (0.39 conf)
c_r_page_list_lia_fill_text__2 was CR-223[0].Page1[0].List3[0].Lia[0].FillText2[0] (0.39 conf)
c_r_page_list_lia_fill_text__3 was CR-223[0].Page1[0].List3[0].Lia[0].FillText3[0] (0.39 conf)
c_r_page_list_lia_fill_text__4 was CR-223[0].Page1[0].List3[0].Lia[0].FillText4[0] (0.39 conf)
c_r_page_list_lia_fill_text__5 was CR-223[0].Page1[0].List3[0].Lia[0].FillText5[0] (0.39 conf)
c_r_page_list_lia_fill_text__6 was CR-223[0].Page1[0].List3[0].Lia[0].FillText6[0] (0.39 conf)
c_r_page_list_lib_fill_text__1 was CR-223[0].Page1[0].List3[0].Lib[0].FillText7[0] (0.39 conf)
c_r_page_list_lib_fill_text__2 was CR-223[0].Page1[0].List3[0].Lib[0].FillText8[0] (0.39 conf)
c_r_page_list_lib_fill_text__3 was CR-223[0].Page1[0].List3[0].Lib[0].FillText9[0] (0.39 conf)
c_r_page_list_lib_fill_text__4 was CR-223[0].Page1[0].List3[0].Lib[0].FillText10[0] (0.39 conf)
c_r_page_list_lib_fill_text__5 was CR-223[0].Page1[0].List3[0].Lib[0].FillText11[0] (0.39 conf)
c_r_page_list_lib_fill_text__6 was CR-223[0].Page1[0].List3[0].Lib[0].FillText12[0] (0.39 conf)
c_r_page_list_lic_fill_text__1 was CR-223[0].Page1[0].List3[0].Lic[0].FillText13[0] (0.39 conf)
c_r_page_list_lic_fill_text__2 was CR-223[0].Page1[0].List3[0].Lic[0].FillText14[0] (0.39 conf)
c_r_page_list_lic_fill_text__3 was CR-223[0].Page1[0].List3[0].Lic[0].FillText15[0] (0.39 conf)
c_r_page_list_lic_fill_text__4 was CR-223[0].Page1[0].List3[0].Lic[0].FillText16[0] (0.39 conf)
c_r_page_list_lic_fill_text__5 was CR-223[0].Page1[0].List3[0].Lic[0].FillText17[0] (0.39 conf)
c_r_page_list_lic_fill_text__6 was CR-223[0].Page1[0].List3[0].Lic[0].FillText18[0] (0.39 conf)
c_r_page_list_lia_fill_text__7 was CR-223[0].Page1[0].List4[0].Lia[0].FillText19[0] (0.39 conf)
c_r_page_list_lib_fill_text__7 was CR-223[0].Page1[0].List4[0].Lib[0].FillText20[0] (0.39 conf)
c_r_page_list_lic_fill_text__7 was CR-223[0].Page1[0].List4[0].Lic[0].FillText21[0] (0.39 conf)
c_r_page_list_lia_fill_text__8 was CR-223[0].Page1[0].List5[0].Lia[0].FillText22[0] (0.39 conf)
c_r_page_list_lib_fill_text__8 was CR-223[0].Page1[0].List5[0].Lib[0].FillText23[0] (0.39 conf)
c_r_page_list_lic_fill_text__8 was CR-223[0].Page1[0].List5[0].Lic[0].FillText24[0] (0.39 conf)
c_r_page_list_lia_fill_text__9 was CR-223[0].Page1[0].List6[0].Lia[0].FillText25[0] (0.39 conf)
c_r_page_list_lib_fill_text__9 was CR-223[0].Page1[0].List6[0].Lib[0].FillText26[0] (0.39 conf)
c_r_page_list_lic_fill_text__9 was CR-223[0].Page1[0].List6[0].Lic[0].FillText27[0] (0.39 conf)
c_r_page_list_lia_fill_text__10 was CR-223[0].Page1[0].List7[0].Lia[0].FillText28[0] (0.39 conf)
c_r_page_list_lib_fill_text__10 was CR-223[0].Page1[0].List7[0].Lib[0].FillText29[0] (0.39 conf)
c_r_page_list_lic_fill_text__10 was CR-223[0].Page1[0].List7[0].Lic[0].FillText30[0] (0.39 conf)
c_r_page_list_item_date was CR-223[0].Page1[0].List8[0].item8[0].Date1[0] (0.34 conf)
c_r_page_list_item_ch__1 was CR-223[0].Page1[0].List9[0].item9[0].Ch1[0] (0.34 conf)
c_r_page_list_item_ch__2 was CR-223[0].Page1[0].List9[0].item9[0].Ch2[0] (0.34 conf)
c_r_page_list_item_ch__3 was CR-223[0].Page1[0].List9[0].item9[0].Ch3[0] (0.34 conf)
c_r_page_list_item_ch__4 was CR-223[0].Page1[0].List9[0].item9[0].Ch4[0] (0.34 conf)
c_r_page_list_item_ch__5 was CR-223[0].Page1[0].List10[0].item10[0].Ch5[0] (0.34 conf)
c_r_page_list_item_ch__6 was CR-223[0].Page1[0].List10[0].item10[0].Ch6[0] (0.34 conf)
c_r_page_list_item_ch__7 was CR-223[0].Page1[0].List10[0].item10[0].Ch7[0] (0.34 conf)
c_r_page_list_item_ch__8 was CR-223[0].Page1[0].List10[0].item10[0].Ch8[0] (0.34 conf)
c_r_page_list_decimal_field__1 was CR-223[0].Page1[0].List11[0].DecimalField3[0] (0.34 conf)
c_r_page_list_decimal_field__2 was CR-223[0].Page1[0].List11[0].DecimalField2[0] (0.34 conf)
c_r_page_list_decimal_field__3 was CR-223[0].Page1[0].List11[0].DecimalField1[0] (0.34 conf)
c_r_page_list_lia_ch was CR-223[0].Page1[0].List11[0].Lia[0].Ch10[0] (0.37 conf)
c_r_page_list_lib_ch was CR-223[0].Page1[0].List11[0].Lib[0].Ch11[0] (0.37 conf)
c_r_page_list_lic_ch was CR-223[0].Page1[0].List11[0].Lic[0].Ch12[0] (0.37 conf)
c_r_page_sign_date was CR-223[0].Page1[0].sign[0].Date2[0] (0.32 conf)
c_r_page_defendant_date was CR-223[0].Page1[0].defendant[0].Date3[0] (0.32 conf)
c_page_defendant_decimal_field was CR-223[0].Page1[0].defendant[0].DecimalField4[0] (0.34 conf)
c_r_page_sign_sig_date was CR-223[0].Page1[0].sign2[0].SigDate1[0] (0.28 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

c_r_page_p_case_number

Suggested Screen 1:

c_r_page_p_caption_atty_party_info_crt_county
c_r_page_p_caption_atty_party_info_crt_street

Suggested Screen 2:

c_page_p_party_info_city
c_page_p_party_info_state
c_page_p_title_party_name

Suggested Screen 3:

c_r_page_p_info_name
c_r_page_p_info_street
c_r_page_p_info_city
c_r_page_p_info_state
c_r_page_p_info_phone
c_r_page_p_info_email

Suggested Screen 4:

c_r_page_p_party_info__1
c_r_page_p_caption_info__1
c_r_page_p_party_info__2
c_r_page_p_caption_info__2
c_r_page_p_caption_info__3
c_r_page_p_caption_info__4
c_r_page_p_caption_info__5

Suggested Screen 5:

c_page_list_item_text_field__1
c_page_list_item_text_field__2

Suggested Screen 6:

c_r_page_list_item_address
c_r_page_list_item_city
c_r_page_list_item_state
c_r_page_list_item_phone
c_r_page_list_item_date

Suggested Screen 7:

c_r_page_list_lia_fill_text__1
c_r_page_list_lia_fill_text__2
c_r_page_list_lia_fill_text__3
c_r_page_list_lia_fill_text__4
c_r_page_list_lia_fill_text__5
c_r_page_list_lia_fill_text__6
c_r_page_list_lia_fill_text__7
c_r_page_list_lia_fill_text__8
c_r_page_list_lia_fill_text__9
c_r_page_list_lia_fill_text__10

Suggested Screen 8:

c_r_page_list_lic_fill_text__1
c_r_page_list_lic_fill_text__2
c_r_page_list_lic_fill_text__3
c_r_page_list_lic_fill_text__4
c_r_page_list_lic_fill_text__5
c_r_page_list_lic_fill_text__6
c_r_page_list_lic_fill_text__7
c_r_page_list_lic_fill_text__8
c_r_page_list_lic_fill_text__9
c_r_page_list_lic_fill_text__10

Suggested Screen 9:

c_r_page_list_lib_fill_text__1
c_r_page_list_lib_fill_text__2
c_r_page_list_lib_fill_text__3
c_r_page_list_lib_fill_text__4
c_r_page_list_lib_fill_text__5
c_r_page_list_lib_fill_text__6
c_r_page_list_lib_fill_text__7
c_r_page_list_lib_fill_text__8
c_r_page_list_lib_fill_text__9
c_r_page_list_lib_fill_text__10

Suggested Screen 10:

c_r_page_list_item_zip
c_r_page_list_item_ch__1
c_r_page_list_item_ch__2
c_r_page_list_item_ch__3
c_r_page_list_item_ch__4
c_r_page_list_item_ch__5
c_r_page_list_item_ch__6
c_r_page_list_item_ch__7
c_r_page_list_item_ch__8

Suggested Screen 11:

c_r_page_list_decimal_field__1
c_r_page_list_decimal_field__2
c_r_page_list_decimal_field__3
c_page_defendant_decimal_field

Suggested Screen 12:

c_r_page_list_lia_ch
c_r_page_list_lib_ch
c_r_page_list_lic_ch

Suggested Screen 13:

c_r_page_sign_date
c_r_page_defendant_date
c_r_page_sign_sig_date

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Ignition Interlock Calibration Verification

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02