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STR EET A D DR ES S: MAIL IN G A D DR ESS : CIT Y AN D Z IP C O DE: BRAN CH N AM E: N AM E OF D EFEN DANT : STR EET AD DRESS: MAILING A DD RESS : CIT Y A N D Z IP C O DE: HOM E T E LEP HON E N O. :WORK TEL EPHONE NO.: DR IV ER 'S LI CEN SE NO .:N O TIC E T O E M PLO YER S O F I G NIT IO N I N TE R LO CK R ESTR IC TIO N S U PER IO R CO URT O F C ALIFO RNIA ,C O UNTY O FFO R C O URT USE O NLYID -1 50CAS E NUM BE R :IN STR U CT IO NS T O D EFE N DA NTYou a re r eq uir e d to p ro vide th is n o tic e to a ny e m plo ye r w ho o w ns a v e h ic le th at y ou o pera te in th e c o urs e a nd s cop e o f y o ur em plo ym ent w ith th at e m ploy er. Y ou ar e a ls o re q ui re d t o k e e p th is n ot ic e in yo ur p osse ssio n o r w ith y o u r em plo ye r's v e hic le . N O TIC E T O E M PLO YER 1. T his is to inf orm t h e em plo ye rs of th e ab ove n am ed d efe nda n t th at th e de fe ndant is r e q u ir e d b y c o urt or der to ha ve in sta lled , on all v e hic le s tha t th e de fen dant o w ns or o p er ates, an ignit io n in te rlo ck d evic e p urs u an t to Vehic le C ode se ctio n 2 3 57 5 e t s e q. 2. T his c o urt or de r is effe ctiv e (d a te ):a n d will ex pire (d a te ):3 . N ote : V eh ic le Cod e s e ctio n 2 35 76 p ro vid es:"[I]f a p e rs o n is re q uir e d to o p er ate a m oto r v e hic le in th e c ou rs e and s co p e o f hi s or he r em plo ym ent an d if th e v e hic le is o w ned by th e em ploye r, the pers on may o pera te th at v e hic le w it h out in stal la tio n o f an a p p rov ed ig nit io n in te rlo ck d evic e if th e em plo ye r ha s bee n no tif ied b y th e p ers o n th at th e per so n' s driv in g p riv ile ge h a s b een r e str ic te d .. . a n d if th e pe rso n has p ro of of tha t n o tific a tio n in h is o r her po sse ss io n, o r if th e no tic e , o r a fac sim ile co py th ere of, is wi th th e v eh ic le ."4 . T hi s not ic e s a tis fie s th e r e qu ire m ents of V eh ic le C ode s e ctio n 2 3 576 .Form Approve d for Op tion al Us e Jud ic ia l C oun ci l o f C alifo rni a ID -1 50 [R ev. Ju ly 1, 2 00 5] N O TIC E T O E M PLO YER S OF IG NIT IO N IN TE R LO CK R ESTR IC TIO N (Ig nit io n I n te rlo ck D evic e) Pag e 1 o f 1 Veh ic le Co de, §§ 23 575 , 235 76 ele ctr o nic f o rm  2 005 WWW.LawCA.com La w P ublis h ers