DUI Judgment and Sentence Form (DUIJS) - Page 1 of 3 CrRLJ 07.0100 (06/2018) CrRLJ 7.2, 7.3; RCW 46.20.720, 46.61.5055 Court of Washington For No. Plaintiff, vs. Defendant . Judgment and Sentence for : 1) Driving Under The Influence Physical Control 2) Reckless Driving (RCW 46.61.500(3) Negligent Driving - 1st Degree (RCW 46.61.5249(4)) 3) (DUIJS) The defendant is adjudged guilty based upon a guilty plea, jury verdict, or bench trial. The court verified the defendant222s criminal history and driving record and made findings as follows: (check all that apply): GY Passenger under age 16, BAC , No Test, Refusal, Drug related, THC, CDL Vehicle Information: Hazmat vehicle, Commercial vehicle, 16 Passenger vehicle, and ; therefore, the defendant is sentenced as follows: Sentence is suspended for a period of months/years on the following conditions: Count 1) days of jail and suspends days; and a fine of $ with $ suspended Count 2) days of jail and suspends days; and a fine of $ with $ suspended Count 3) days of jail and suspends days; and a fine of $ with $ suspended Jail: Serve a total of days in jail with credit for days served, and serve a total of days of electronic home monitoring with credit for days served. other alternative means of confinement: . Jail sentences are concurrent/consecutive with all other commitments . The defendant is indigent as defined in RCW 10.101.010(3)(a) 226 (c). Pay: fine $ Alcohol violator fee DUC $ 250.00 assessments $ criminal conviction fee $ 43.00 costs $ criminal traffic fee $ 102.50 bench warrant fee $ probation/monitoring fee $ jail recoupment fee $ booking fee $ other $ public defender recoupment $ Passenger under 16 fine $ DUI emergency response reimbursement to (agency): $ restitution of $ (set by separate order.) restitution to be left open for days. (All payments shall be made through the clerk of this court, including restitution.) Total: $ Financial obligations are due and payable immediately unless the court has set a payment schedule. Pay total financial obligations at $ per month starting on . Pay schedule set by separate order. $ of this total is converted to hours of community restitution (service) which must be completed by . Proof of completion shall be provided to the court/probation department. Mandatory Conditions of Sentence - DUI/Physical Control (a) The defendant shall not drive a motor vehicle without a valid license. (b) The defendant shall not drive a motor vehicle without proof of liability insurance or other financial responsibility. (c) The American LegalNet, Inc. www.FormsWorkFlow.com DUI Judgment and Sentence Form (DUIJS) - Page 2 of 3 CrRLJ 07.0100 (06/2018) CrRLJ 7.2, 7.3; RCW 46.20.720, 46.61.5055 defendant shall not drive or be in physical control of a motor vehicle with an alcohol concentration of .08 or more or a THC concentration of 5.00 nanograms per milliliter of whole blood or higher, within two hours after driving. (d) The defendant shall submit to a breath or blood alcohol test upon the reasonable request of a law enforcement officer. (e) The defendant shall not drive a motor vehicle without a functioning ignition interlock device as required by the Department of Licensing. For each violation of the above mandatory conditions, the court shall order your confinement for a minimum of 30 days, which may not be suspended or deferred. For each incident involving a violation, the court shall suspend your license for 30 days. No criminal violations of law or alcohol related infractions. Comply with the rules and requirements of the Department of Licensing regarding the installation and use of a functioning ignition interlock device. Comply with the requirement to install an ignition interlock device for 6 months in addition to any other ignition interlock device requirements imposed by the Department of Licensing or the court. (Passenger under 16, RCW 46.61.5055(6).) The court has ordered the defendant to refrain from consuming any alcohol. The defendant must comply with alcohol monitoring as authorized by law. The defendant shall pay the cost of monitoring. The cost of monitoring shall be paid by . (RCW 46.61.5055(5)). Conditions of Sentence 226 Reckless Driving/Negligent Driving 226 1st Degree (a) The defendant shall not drive a motor vehicle without a valid license and proof of liability insurance or other financial responsibility. (b) The defendant shall not drive or be in physical control of a motor vehicle with an alcohol concentration of .08 or more or a THC concentration of 5.00 nanograms per milliliter of whole blood or higher, within two hours after driving. The defendant shall submit to a breath or blood alcohol test upon the reasonable request of a law enforcement officer. No criminal violations of law or alcohol related infractions. Comply with mandatory ignition interlock device requirements as imposed by the Department of Licensing. Additional Conditions of Sentence 226 24/7 Sobriety Program/Discretionary Ignition Interlock 24/7 Sobriety Program is available. For 6 months days/months: comply with the 24/7 Sobriety Program (RCW 46.61.5055(1) 226 (3).) do not drive any motor vehicle unless it is equipped with an ignition interlock device (this does not authorize you to drive without a valid license). Comply with discretionary ignition interlock device requirements. RCW 46.20.720(1)(e): For a period of years or for months drive only a motor vehicle equipped with a functioning ignition interlock device, which is in addition to any ignition interlock device restriction imposed by DOL. Unless otherwise stated, the calibration level for any ignition interlock requirement imposed under this order shall be .025% . Employer exemption: When the defendant provides an Employer Exemption declaration to the Department of Licensing, this order shall not apply to vehicles owned, leased, or rented by defendant222s employer or to those vehicles whose care and/or maintenance is the temporary responsibility of the employer and driven at the direction of the defendant222s employer as a requirement of employment during working hours. Except that, the employer exemption does not apply when the employer222s vehicle is assigned exclusively to the defendant and used solely to commute to and from employment. Additional Conditions of Sentence Probation for months. Supervised probation for months with probation department and abide by all rules and regulations of probation department. Pay a pre-sentence fee and a monthly probation fee as set by the probation department. American LegalNet, Inc. www.FormsWorkFlow.com DUI Judgment and Sentence Form (DUIJS) - Page 3 of 3 CrRLJ 07.0100 (06/2018) CrRLJ 7.2, 7.3; RCW 46.20.720, 46.61.5055 Obtain a substance use disorder evaluation expanded alcohol assessment from a Washington State approved agency and file a copy of the evaluation/assessment within days. Begin any recommended/appropriate substance use disorder treatment or education within days and file proof of timely enrollment and completion. Begin the following within days, complete within days, and file proof of timely enrollment and completion: DUI Victim222s Panel Alcohol/Drug Information School One Year Substance Use Disorder Treatment Two Year Substance Use Disorder Treatment Substance Use Disorder Treatment for a period of Driver Improvement School Other . Use no alcoholic beverages or non-prescribed controlled drugs. Attend Alcoholics Anonymous Narcotics Anonymous Other self-help program () meetings times a week for months or as recommended by treatment provider. Other: . Department of Licensing Notice 226 DUI, Physical Control, Reckless Driving, Negligent Driving 1st. Department of Licensing Notice 226 Defendant under age 21 only. Count is (a) a violation of RCW chapter 69.41 [Legend drug], 69.50 [VUCSA], or 69.52 [Imitation drugs], and the defendant was under 21 years of age at the time of the offense OR (b) a violation under RCW 9.41.040 (unlawful possession of firearm), and the defendant was under the age of 18 at the time of the offense OR (c) a violation under RCW chapter 66.44 [Alcohol],and the defendant was under the age of 18 at the time of the offense, AND the court finds