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To request a Certified Document for the Oklahoma Board of Tests for Alcohol and Drug Influence please fill out the form below and press the submit button. Your request will be filed via E-mail. You can request one certified document at a time (if you need more than one simply return to this page after your previous request is sent.) Each document costs $4.25. Once your request has been received you will be contacted by the Board of Tests regarding your request and payment. If this format doesn't meet your request you can also mail a written request to the Board at PO Box 11415, Oklahoma City, Ok 73136 or fax 405-425-2490.
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*Firm Name:	*Firm Address:
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Request Information:
*Serial number of device:	*Name of Tested Individual:	Agency administering Test:
Test result: g/210L	*Date of Test:	Time of Test:
Permit No. of operator:
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Breath-Alcohol Simulator Solution - Certification Confirmation
Please enter the confirmation key below. The number for position 1 is: two plus two The number for position 2 is: eight plus one The number for position 3 is: six minus two The number for position 4 is: eight plus one The number for position 5 is: eight plus zero *Enter Confirmation Key: View As Image Hear Audio View As Text