Form B-307 Application for a Learner’s Permit
INSTRUCTIONS: CONNECTICUT APPLICATION FOR A LEARNER PERMIT (Form B-307)
Connecticut residents aged 16 and 17 must apply for a learner's permit as part of the process of obtaining a driver's license. This is done by completing a form B-307, which can be obtained from the website of the government of Connecticut.
Connecticut Application For A Learner Permit B-307 Step 1: In box 1, enter the last name, first name and middle initial of the applicant.
Connecticut Application For A Learner Permit B-307 Step 2: In box 2, indicate the gender of the applicant with a check mark.
Connecticut Application For A Learner Permit B-307 Step 3: In box 3, enter your date of birth.
Connecticut Application For A Learner Permit B-307 Step 4: In box 4, enter your height.
Connecticut Application For A Learner Permit B-307 Step 5: In box 5, enter your eye color.
Connecticut Application For A Learner Permit B-307 Step 6: In box 6, enter your mailing address.
Connecticut Application For A Learner Permit B-307 Step 7: Enter your residential address in box 7 if different from your mailing address.
Connecticut Application For A Learner Permit B-307 Step 8: Indicate whether you are a US citizen with a check mark in box 8. If not, enter your alien registration number in box 8a.
Connecticut Application For A Learner Permit B-307 Step 9: In box 9, indicate whether you are a Connecticut resident with a check mark.
Connecticut Application For A Learner Permit B-307 Step 10: In box 10, enter any other names you have ever used.
Connecticut Application For A Learner Permit B-307 Step 11: In box 11, enter your Social Security number.
Connecticut Application For A Learner Permit B-307 Step 12: Box 12 asks whether you have ever held a Connecticut license, non-driver ID or a license or ID card issued by another state. If yes, enter the years in which you held this identification and the card number.
Connecticut Application For A Learner Permit B-307 Step 13: Box 13 asks whether your privilege to operate a motor vehicle is suspended or subject to suspension in Connecticut or in any other state. If so, enter the state in which suspension occurred and the reason.
Connecticut Application For A Learner Permit B-307 Step 14: Check the box where indicated you do not have health or vision problems which prevent safe motor vehicle operation.
Form P-142C Cardiology Medical Report
INSTRUCTIONS: CONNECTICUT CARDIOLOGY MEDICAL REPORT (Form P-142C)
When a Connecticut driver is involved in an incident that may be related to a heart condition, a form P-142C is used to document the examination by a medical professional that may be required. This document can be obtained from the website of the government of the state of Connecticut.
Connecticut Cardiology Medical Report P-142C Step 1: Enter the date of the incident being addressed at the top right-hand corner.
Connecticut Cardiology Medical Report P-142C Step 2: The patient should enter their signature and the date in the first two blank boxes, then submit the form to the medical professional performing the examination for completion.
Connecticut Cardiology Medical Report P-142C Step 3: Enter the patient's name, date of birth and telephone number in the next three blank boxes.
Connecticut Cardiology Medical Report P-142C Step 4: Enter the patient's address in the next blank box.
Connecticut Cardiology Medical Report P-142C Step 5: In the next two blank boxes, enter the amount of time you have been treating this patient and the date of their last examination.
Connecticut Cardiology Medical Report P-142C Step 6: In the next blank box, enter all patient conditions relevant to safe operation of a motor vehicle.
Connecticut Cardiology Medical Report P-142C Step 7: In the chart provided below, document all technical reports with findings relevant to safe operation of a motor vehicle.
Connecticut Cardiology Medical Report P-142C Step 8: In the next two blank boxes, give the date and type of the patient's last episode of altered circulatory stability sufficient to interfere with operating a motor vehicle safely.
Connecticut Cardiology Medical Report P-142C Step 9: In the next six blank boxes, document all medications and their dosages relevant to motor vehicle operation taken by the patient.
Connecticut Cardiology Medical Report P-142C Step 10: In the blank space where indicated, enter any abnormalities detected on cardiac examination.
Connecticut Cardiology Medical Report P-142C Step 11: Enter the next five questions by checking "yes," "no" or "not applicable" as applicable.
Connecticut Cardiology Medical Report P-142C Step 12: Indicate whether the patient's condition warrants periodic monitoring with a check mark. If so, enter the conditions which should be monitored and your recommended monitoring intervals. Below, note any other conditions which should be evaluated by another specialist and additional comments. Sign and date the form and provide all identifying information requested.
R-229 Application for Non-Commercial Class D Driver License
INSTRUCTIONS: CONNECTICUT APPLICATION FOR A NON-COMMERCIAL LEARNER PERMIT AND/OR DRIVER LICENSE (Form R-229)
To apply for a Connecticut non-commercial learner permit or driver's license, complete a form R-229. This document can be obtained from the website of the state of Connecticut.
Connecticut Application For A Non-Commercial Learner Permit And/Or Driver License R-229 Step 1: Enter the applicant's last name, first name and middle initial in box 1.
Connecticut Application For A Non-Commercial Learner Permit And/Or Driver License R-229 Step 2: Indicate your gender with a check mark in box 2.
Connecticut Application For A Non-Commercial Learner Permit And/Or Driver License R-229 Step 3: Enter your date of birth in box 3.
Connecticut Application For A Non-Commercial Learner Permit And/Or Driver License R-229 Step 4: Enter your height in box 4.
Connecticut Application For A Non-Commercial Learner Permit And/Or Driver License R-229 Step 5: Enter your eye color in box 5.
Connecticut Application For A Non-Commercial Learner Permit And/Or Driver License R-229 Step 6: Enter your mailing address in box 6. If your residential address is different, enter it in box 7.
Connecticut Application For A Non-Commercial Learner Permit And/Or Driver License R-229 Step 7: Indicate whether you are a US citizen with a check mark in box 8. If not, provide your alien registration number.
Connecticut Application For A Non-Commercial Learner Permit And/Or Driver License R-229 Step 8: Indicate whether you are a Connecticut resident with a check mark in box 9.
Connecticut Application For A Non-Commercial Learner Permit And/Or Driver License R-229 Step 9: Indicate whether you wish to be in the organ or tissue donor registry with a check mark in box 10 and provide your daytime telephone number.
Connecticut Application For A Non-Commercial Learner Permit And/Or Driver License R-229 Step 10: Enter your Social Security number in box 11.
Connecticut Application For A Non-Commercial Learner Permit And/Or Driver License R-229 Step 11: List any other names you have used in box 12.
Connecticut Application For A Non-Commercial Learner Permit And/Or Driver License R-229 Step 12: Answer questions 13 through 16 as directed.
Connecticut Application For A Non-Commercial Learner Permit And/Or Driver License R-229 Step 13: Sign and date the form where indicated. The remainder of the form should be completed at the Department of Motor Vehicles.
Form B-215 Special Mobile Equipment Affidavit
INSTRUCTIONS: CONNECTICUT SPECIAL MOBILE EQUIPMENT AFFIDAVIT (Form B-215)
To attest to the safety of safety mobile equipment or a special mobile agricultural vehicle to be used in Connecticut, use a form B-215. This affidavit can be obtained from the website maintained by the government of the state of Connecticut.
Connecticut Special Mobile Equipment Affidavit B-215 Step 1: Enter the vehicle make in the first blank box.
Connecticut Special Mobile Equipment Affidavit B-215 Step 2: Enter the vehicle body style in the second blank box.
Connecticut Special Mobile Equipment Affidavit B-215 Step 3: Enter the vehicle identification number in the third blank box.
Connecticut Special Mobile Equipment Affidavit B-215 Step 4: Enter the vehicle registration number in the fourth blank box.
Connecticut Special Mobile Equipment Affidavit B-215 Step 5: Enter the name of the applicant in the fifth blank box.
Connecticut Special Mobile Equipment Affidavit B-215 Step 6: Enter the full street address, city, state and zip code of the applicant in the sixth blank box.
Connecticut Special Mobile Equipment Affidavit B-215 Step 7: Check the box next to "special mobile equipment" if this is the type of vehicle being documented. By doing so, you are agreeing with the paragraph printed in this section, which states that the vehicle can be safely operated on Connecticut highways, and that you agree not to operate this vehicle on any highway half an hour after sunset or half an hour before sunrise, as well as under any other inadequate light conditions. This paragraph also states that the vehicle will only be driven from its place of storage to the construction site or from one site to another, and that it will not be used to transport passengers or payload on the highway unless working on a highway construction project or a project requiring crossing the highway.
Connecticut Special Mobile Equipment Affidavit B-215 Step 8: Check the box next to "special mobile agricultural vehicle" if this is the type of vehicle being documented.
Connecticut Special Mobile Equipment Affidavit B-215 Step 9: Enter your signature in the first blank box at the bottom of the page.
Connecticut Special Mobile Equipment Affidavit B-215 Step 10: Enter the date in the second blank box.
Connecticut Special Mobile Equipment Affidavit B-215 Step 11: Submit the document to the Connecticut Department of Motor Vehicles.
Form P-40 Initial Medical Request
INSTRUCTIONS: CONNECTICUT INITIAL MEDICAL REQUEST (Form P-40)
When a Connecticut driver has been involved in an accident that may have been caused by an underlying medical condition, they may be required to receive an examination from a medical professional. This can be documented using a form P-40. This document can be obtained from the website of the government of Connecticut.
Connecticut Initial Medical Request P-40 Step 1: At the top right-hand corner, enter the driver's license number and the date of the incident in question.
Connecticut Initial Medical Request P-40 Step 2: The patient should enter their signature and the date in the first two blank boxes, then give the form to the examining medical professional for completion.
Connecticut Initial Medical Request P-40 Step 3: Enter the patient's last name, first name and middle initial in the third blank box.
Connecticut Initial Medical Request P-40 Step 4: Enter the patient's date of birth in the fourth blank box.
Connecticut Initial Medical Request P-40 Step 5: Enter the patient's telephone number in the fifth blank box.
Connecticut Initial Medical Request P-40 Step 6: Enter the patient's street address, city, state and zip code in the sixth blank box.
Connecticut Initial Medical Request P-40 Step 7: In the next section, place a check mark next to all listed conditions which may apply to the patient. The listed conditions are alcohol/substance abuse, Alzheimer's/dementia, cardiovascular/hypertension, cerebral palsy, cystic fibrosis, endocrine/glandular, liver/renal failure, narcolepsy, neurological/neuromuscular, ophthalmologic, orthopedic, peripheral vascular disease, psychiatric/emotional disorder, pulmonary/sleep apnea, or other. If the latter, provide a description.
Connecticut Initial Medical Request P-40 Step 8: In the next section, enter the conditions for which you have been treating the patient, the date on which treatment began and the date of the last examination.
Connecticut Initial Medical Request P-40 Step 9: If the patient has been treated by another physician, enter their name, office address and that physician's specialty.
Connecticut Initial Medical Request P-40 Step 10: If you believe the patient has no medical matters which would affect safe motor vehicle operation, indicate this with a check mark. If you do not have sufficient information to evaluate their ability to operate a motor vehicle safely, indicate this with a check mark. If you believe the patient should be road tested or evaluated for special equipment requirements, indicate this with a check mark.
Form A-2 Self Sufficiency Income Chart in Forms Preparation and Data Validation
INSTRUCTIONS: ALABAMA WIA SELF-SUFFICIENCY INCOME CHART (Appendix A (A-2))
This article discusses the Alabama Workforce Investment System (WIA) updated self-sufficiency income chart which was revised in 2008. Because the revised guidelines for this chart were implemented after the publication of the Forms Preparation Handbook for that year, it was necessary to update the information following this document's revision on April 25, 2008. The governor's letter requesting these changes and the chart can still be found on the website maintained by the Alabama Department of Economic and Community Affairs.
Alabama WIA Self-Sufficiency Income Chart Appendix A (A-2) Step 1: The first paragraph of the first page explains the purpose of this letter.
Alabama WIA Self-Sufficiency Income Chart Appendix A (A-2) Step 2: The second paragraph discusses the changes that must be made to the Self-Sufficiency Income Chart.
Alabama WIA Self-Sufficiency Income Chart Appendix A (A-2) Step 3: The third paragraph discusses the actions to be taken to implement these changes.
Alabama WIA Self-Sufficiency Income Chart Appendix A (A-2) Step 4: The fourth paragraph, which is located on the second page, contains contact information for obtaining further assistance in implementing these changes.
Alabama WIA Self-Sufficiency Income Chart Appendix A (A-2) Step 5: The third page contains the revised self-sufficiency income charts. Chart A contains the rates for metropolitan areas. All applicable counties falling into this category are listed. In the table provided, the size of the family is listed in the first column.
Alabama WIA Self-Sufficiency Income Chart Appendix A (A-2) Step 6: In the second column, the 100% Lower Living Standard Income Level (LLSIL) is listed.
Alabama WIA Self-Sufficiency Income Chart Appendix A (A-2) Step 7: In the third column, the 200^ Lower Living Standard Income Level rate is listed.
Alabama WIA Self-Sufficiency Income Chart Appendix A (A-2) Step 8: For families who have more than six members, the amount to be added for each additional family member is provided at the bottom of the table.
Alabama WIA Self-Sufficiency Income Chart Appendix A (A-2) Step 9: Table B provides rates for the other 39 Alabama counties not listed above which are classified as non-metropolitan areas. The family size for each rate is listed in the first column.
Alabama WIA Self-Sufficiency Income Chart Appendix A (A-2) Step 10: The 100% LLSIL for each family is given in the second column, while the 200% LLSIL is given in the third column.