One-Time Service Payment

One-Time Service Payment

Submit a single, non-recurring payment for your selected service. This form is for one-time payments only.
This is a one-time payment form. Your payment will not recur. For monthly recurring payments (available for all services except UA Testing), please use the following link: Set up monthly recurring payments.
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Full Name

First NameLast Name
Email Address
example@example.com

UA Testing

One-time payment for UA Testing.

$1.00

Monthly DUI Supervised Probation

One-time payment for one month of DUI Supervised Probation.

$40.00

Monthly Alcohol Monitoring Bracelet

One-time payment for one month of Alcohol Monitoring Bracelet.

$160.00

Monthly Remote Breath Monitoring

One-time payment for one month of Remote Breath Monitoring.

$200.00

Monthly GPS Bracelet

One-time payment for one month of GPS Bracelet.

$450.00

Total