Family Law Enrollment Form

"*" indicates required fields

Client Information

MM slash DD slash YYYY
MM slash DD slash YYYY
The date required to begin the program and pick up the device.
Are you currently, or have you ever been, a client of Smart Start?

Customized Test Windows

Use the fields below to set up a schedule that’s specifically tailored for your client, with Scheduled or Random testing. You can specify up to 10 tests each day by clicking on the plus symbol on each line.

PLEASE NOTE: If you choose not to customize testing, test windows will automatically be scheduled for 6 a.m. to 8 a.m.; Noon to 2 p.m.; 5 p.m. to 7 p.m.; 9 p.m. to 11 p.m.

Sunday

SUNDAY

Start
End
Timing
 
Monday

MONDAY

Start
End
Timing
 
Tuesday

TUESDAY

Start
End
Timing
 
Wednesday

WEDNESDAY

Start
End
Timing
 
Thursday

THURSDAY

Start
End
Timing
 
Friday

FRIDAY

Start
End
Timing
 
Saturday

SATURDAY

Start
End
Timing
 

Monitoring Authorities

Choose up to four recipients to receive reports via email or have access to SmartWeb. Note: SmartWeb access is reserved for lawyers and court officials.

If you are enrolled or are a lawyer/court representing a client in the Family Law Program, and need to make changes to your account, email [email protected].

Monitoring Contacts
Name *
Address
Email *
Phone Number