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Lifeloc Order Form

Lifeloc Order Form

Lifeloc Technologies Order Form

Michigan State Contract #071B6600035
Effective Date 2/1/2026

Lifeloc Technologies Parts
Description Part MI Price
FC10MI: includes Portable Breath Tester, password protection, carrying case, 25 mouthpieces, wrist strap, grip, calibration adapter, and users manual 11011MI $327.00
EASYCAL Calibration Station 12815MI $1,480.00
Mouthpieces (100/bag) 13043 $16.00
Mouthpieces (250/bag) 13046 $37.00
Calibration Gas Regulator 15302 $124.90
Magnetic Grip, Yellow 80832 $7.60
Rubber Grip, Yellow 83162 $4.95
Shipping-If order is under $100 52051 $18.95
Shipping-If order over $100 52052 $23.95

Note: Calibration Gas/Tanks cannot be ordered

Lifeloc Technologies Solutions
Description Part Price
Solution 0.050 (4pk) 15229 $25.98
Solution 0.100 (4pk) 15230 $25.98
Solution 0.080 (4pk) 15234 $25.98
Solution 0.200 (4pk) 15235 $25.98
Solution 0.020 (4pk) 15239 $25.98
Solution 0.040 (4pk) 15245 $25.98
Solution 0.150 (4pk) 15259 $25.98

All Solution orders will be billed actual shipping. 

Email Sales@lifeloc.com for additional values or more information on solution.

To place an order:

Orders can be placed by email to: customerservice@lifeloc.com or placed by phone at 303-431-9500.

Please call us for all orders being placed with a Credit Card/P-Card.
State entities are required to pay with Net terms via Check or ACH.
Please provide your tax exemption form and FEIN/EIN Number.

If ordering by email, include:

Bill to information:
  • Account number
  • PO#
  • Name
  • Address
  • City
  • State: MI
  • ZIP
  • Attention
  • Phone
  • Email
Ship to information:
  • Name
  • Address
  • City
  • State: MI
  • ZIP
  • Attention
  • Phone
  • Email