Minnesota Department of Corrections SOBERLINK® SL2 PROGRAM PARTICIPANT AGREEMENT
I, ______, have been placed in Minnesota Department of Corrections (MN DOC) SL2 program. I agree to comply with all program requirements and acknowledge that I will fulfill each of the conditions set forth below:
Initial Here / General Instructions:______/ Products containing alcohol, to include any over-the-counter medications such as cough syrups, will not be consumed unless prescribed by a doctor. Documentation of such prescriptions shall be provided to MN DOC within 24 hours.
______/ Strictly follow instructions of my parole officer or supervised release officer and all MN DOC representatives.
______/ Use the SL2 equipment only as instructed by my supervising officer or service provider.
______/ Keep the SL2 unit in my possession at all times for the duration of the program.
______/ Keep the SL2 device adequately charged at all times.
______/ Notify my supervising officer before I travel beyond the range of my cellular telephone service area or immediately after I have traveled beyond the range of the service area.
______/ Promptly answer my telephone or door while at home. My supervising officer will use telephone calls, emails, text messages, and/or personal visits to monitor my compliance with this agreement. All telephone calls to my residence from my officer may be recorded.
______/ Current Health Status or Pre-existing Medical Conditions:
My current health status and pre-existing medical conditions (pregnancy, heart/lung disease, or any other illnesses that may interfere with my ability to successfully complete the program) will be reported to my supervising officer and or service provider.
______/ Testing Schedule:
I have been provided with a printed and signed SL2 Breathalyzer test schedule. I will take my SL2 Breathalyzer tests within the forty-five minute window of my assigned test times. Tests completed outside of this test time frame will be categorized as “unscheduled” and can be reported to my supervising officer as a potential violation.
______/ Testing Procedures:
I am responsible for submitting my own breath alcohol tests. Another person shall not be permitted to take a test using SL2 equipment assigned to me.
Initial Here
______/ Sunglasses, hats, or any other items that may distort my appearance will not be worn while testing.
______/ I will not place my hands on the mouthpiece or cover the back vent while testing.
______/ I will look directly into the camera during the test and not obstruct the camera in any way.
______/ I will refrain from eating twenty (20) minutes prior to testing.
______/ I will wait at least twenty (20) minutes after using mouthwash or any product containing alcohol, such as but not limited to, hand sanitizing gel or any other topical substances (cologne or bug spray) before I submit to testing on the SL2 device.
______/ I understand that non-compliant readings will automatically be transmitted to my supervising officer/attorney/court/etc. via email and/or text.
______/ When prompted for any test that is non-compliant, I will retest as instructed until my BAC registers a compliant test. Failure to retest as instructed may be considered a “positive” reading and/or may be considered breach of this contract as a “failure to comply”.
______/ I will take the test in normal operating temperatures (32* - 105* F)
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______/ Equipment Tampering:
Efforts to disable the SL2 device will be reported to my supervising officer as an attempt to defeat the equipment in violation of this agreement.
Efforts to cover or obstruct the view of the camera lens during testing will be reported to my supervising officer as an attempt to defeat the equipment and in violation of this agreement.
Attempts to introduce outside agents and or substances to the device will be considered a violation.
______/ Equipment Malfunctions:
I will report problems that I encounter with the SL2 device immediately to supervising officer. If I am unable to speak to anyone in person or if I call during non-business hours, I agree to leave a message on the parole officer or supervised release officer’s voicemail that includes my name, the time, and the nature of my problem.
______/ Equipment Care:
I will store the SL2 device in the protective case at all times when not in use and away from items that could contain alcohol.
Initial Here
______/ Acknowledgment of Equipment Receipt:
SL2 Unit Number ______, and ______(#) of Breathalyzer Tubes.
______/ Responsibility for Lost, Damaged or Stolen Equipment
I will be held liable for any equipment damage other than that caused by normal wear. I will pay for repairs or replacement costs and will be charged additional set up fees if the SL2 device is lost, stolen, or intentionally damaged (i.e. dropped, submerged in water or other liquids, or other activity resulting in damage to unit components).
______/ If I fail to return the equipment in good working condition, or I do not return the device at all, I will be charged for the repair or the full replacement cost, as follows:
SL2 Device $800.00.
SL2 Case $10.00
Charger $15.00
Equipment Retrieval Fee $ N/A
Calibration Fee (Refundable) $ N/A
Reactivation Fee $ N/A
______/ Authorized personnel will inspect and maintain the SL2 device for functionality and damage.
I acknowledge that I have received a copy of this Program Participant Agreement and that it was thoroughly explained to me before signing. I understand that I must comply with the requirements of this agreement until notified otherwise by my parole officer/supervised release officer.
I agree to call my supervising officer immediately if I have any questions about this agreement or if I experience any problems with the SL2 unit. I further understand that any violation of this agreement will constitute a violation of the program and may cause immediate adverse legal action to be taken against me.
Failure to follow the instructions provided in this Program Participant Agreement may be interpreted as an attempt to conceal alcohol use may result in action being taken accordingly.
I understand that my failure to comply with this agreement or the instructions I receive from my supervising officer may be considered a violation of the conditions of my supervision and could result in MN DOC-imposed sanctions up to and including incarceration.
I acknowledge that I have received a copy of this Agreement and that it has been explained to me before signing. I understand that I must comply with the requirement of the Agreement until notified otherwise by my parole officer or supervised release officer. I agree to call my officer immediately if I have any questions about this Agreement or it I experience any problems with the Soberlink Device. I further understand that any violation of this Agreement will constitute a violation of the Program and may cause immediate adverse legal action to be taken against me.
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Client Printed Name Case No.
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Client Signature Date
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MN DOC Representative Printed Name
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MN DOC Representative Signature Date
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Address Where Contract was Signed & Witnessed (Number, Street, City, Zip Code, & County)
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