Yukon Install Form

Please allow 2 business days to receive your response.

  • Please ensure that all of the below information is accurate. Information that is incomplete, or not accurate, will cause delays in the processing of your appointment.

Personal Information
  • YYYY dash MM dash DD
Address
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  • This field is hidden when viewing the form
Additional Info
Installation
  • Please provide a minimum of 2 days from the current date. Please do not request Saturday or Sunday, the appointment may not be honored.
    YYYY dash MM dash DD
  • Please provide a minimum of 3 days from the current date. Please do not request Saturday or Sunday, the appointment may not be honored.
    YYYY dash MM dash DD
Vehicle Information
  • This can be used for additional details, e.g., you are hearing impaired and require a light-indicator for device notifications in the car, etc.
  • This field is for validation purposes and should be left unchanged.
Smart Start will only share information with the client unless the client is under 18 years old. No information will be given to immediate family or a 3rd party. In the event that a minor requires interlock, then a signature from a guardian is required. Also, a guardian is required to be at the installation and removal of the interlock for anyone under 18 years old.

Contact Us Today

Western/Central Canada: (844) 432-4776

Province of Québec: (844) 282-8300