Enroll in the Queensland Alcohol Interlock Program

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

Queensland Enrollment & Quotation Form

Quote or Enrol QLD

Please select submission type*
First Name*
Middle Name
Surname*
DOB*
Drivers Licence*
Number and Street*
State*
Email Address*
City/Town/Suburb*
Postcode*
Phone*
Eligible Interlock Licence Date*The Eligibility Date is important as it determines when you can have an interlock fitted.
Centrelink - CRN Type*Enter CRN Type if available otherwise select None
Interlock Installation Period *Select Interlock Period
Centrelink - CRNCustomer Reference Number is important as it will determine if you are eligible for a concession.

Vehicle Details

Are You The Registered Vehicles Owner?*
VRN*
VIN (17 Characters)*VIN Comprises of a 17 digit code
0 (Min. 17 Characters)
Year*
Make*
Model*
Ignition Type*
 Colour*
Vehicle Type*
Submit
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.