Contact Change Request

Select your program

Level 1 - Parenting Time OnlyLevel 2 - Daily Testing

Soberlink's Family Law Program requires all changes to be signed by both Involved Parties.

ROLE 1

Monitored Client

The person who submits breath tests using the Soberlink device.

ROLE 2

Concerned Party

The person who receives results.

Often a co-parent, guardian, or legal representative acting in the child's best interest.

Your Information

Your Role *

Your First Name *

Your Last Name *

Your Email *

Confirm Your Email *

The Other Party's Information

Enter the other party's information. This cannot be the same information as yours.

The Other Party's Role * Automatically set based on your role selection.

The Other Party's First Name *

The Other Party's Last Name *

The Other Party's Email *

Confirm the Other Party's Email *

Add or remove contacts

Use this form to add new contacts to your Soberlink account or remove existing ones.

When adding a contact, select how they receive information:

Send Alerts / Reports - The contact will automatically receive the default Alerts and/or Reports.
Send Information Only Upon Request - For contacts who need account access but not inbox alerts. Alerts/Reports can be added later if needed.

First Name *

Last Name *

Email Address *

Update: *

Complete all contact fields above to proceed. Contacts beyond the first are optional and can be removed.

Note: Approved changes may take up to 2 business days to take effect.

By signing this document, I am confirming that I approve of, understand, and agree to the update(s) above.

Please do not close this page.

You are being redirected to Docusign to review and sign your agreement.

Contact Update Request