Form HEA2652 Intoxilyzer 5000 Subject Test Form - Ohio

Form HEA2652 Intoxilyzer 5000 Subject Test Form - Ohio

What Is Form HEA2652?

This is a legal form that was released by the Ohio Department of Health - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form HEA2652?
A: Form HEA2652 is the Intoxilyzer 5000 Subject Test Form used in Ohio for alcohol breath testing.

Q: What is the purpose of Form HEA2652?
A: The purpose of Form HEA2652 is to record the results of subject tests conducted using the Intoxilyzer 5000 for alcohol breath testing.

Q: Who uses Form HEA2652?
A: Law enforcement officers in Ohio who administer alcohol breath tests using the Intoxilyzer 5000 use Form HEA2652.

Q: What information is included in Form HEA2652?
A: Form HEA2652 includes information such as the test subject's personal details, the date and time of the test, the test result, and the administering officer's details.

Q: How should Form HEA2652 be completed?
A: Form HEA2652 should be completed accurately and legibly, with all required information filled in correctly, including the test subject's details and the test result.

Q: Are there any guidelines or instructions for completing Form HEA2652?
A: Yes, the Ohio Department of Public Safety provides guidelines and instructions for completing Form HEA2652. It's important to follow these guidelines to ensure the accuracy and validity of the test results.

Q: Can Form HEA2652 be used as evidence in court?
A: Yes, Form HEA2652 can be used as evidence in court proceedings related to alcohol breath testing in Ohio.

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Form Details:

  • Released on August 1, 2002;
  • The latest edition provided by the Ohio Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form HEA2652 by clicking the link below or browse more documents and templates provided by the Ohio Department of Health.

Download Form HEA2652 Intoxilyzer 5000 Subject Test Form - Ohio

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