Enrol in the NSW Alcohol Interlock Program

 get back on the road sooner, enrol now with Affordable Interlock System .

New South Wales Enrolment & Quotation Form

 Quote or Enrol NSW

Please select submission type*
First Name*
Middle Name
Drivers Licence*
Number and Street*
Email Address*
Interlock Participant No:*The Participant Number is very important. Without it we can't issue your certicate.
Centrelink - CRN Type*Enter CRN Type if available otherwise select None
Eligible Interlock Licence Date*The Eligibility Date is important as it determines when you can have an interlock fitted.
Centrelink - CRNCustomer Reference Number is important as it will determine if you are eligible for a concession.
Interlock Installation Period *Select Interlock Period

Vehicle Details

Are You The Registered Vehicles Owner? *
VIN (17 Characters)*VIN Comprises of a 17 digit code
0 (Min. 17 Characters)
Ignition Type*
Vehicle Type*
Young man blowing into his affordable interlock device

Stay Safe

install a affordable interlock breathalyzer device
A man smiling while driving his car

Feeling Smart

After having his affordable interlock device installed

Thank you for filling out the form, we absolutely appreciate it. An Affordable Interlock customer service representative will be in touch with you shortly to discuss your interlock requirements. Our goal is to get you back on the road sooner by making your experience in this process effortless.