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Power of Attorney


Power of Attorney

 

INSTRUCTIONS: ALASKA POWER OF ATTORNEY

If you wish to appoint someone else to have authority over any part of your life, you must fill out a power of attorney form. Alaska provides an all purpose power of attorney which can be downloaded from the website of the Alaska Legal Services Corporation.

Power of Attorney Step 1: Under Section 1, fill in your name and address as indicated.

Power of Attorney Step 2: Write the name and address of the agent or agents you wish to grant authority.

Power of Attorney Step 3: Section 2 provides a number of options as to the specific powers you wish to grant an agent. If you wish to allow a designated agent complete authority over all 13 categories, you do not have to do anything in this section. If you only wish to grant certain authorities, strike through those lines you do not wish to give them authority over and place your initials alongside them. Any powers not listed there which you wish to grant may be detailed under section O.

Power of Attorney Step 4: In Section 4, indicate whether the document will take effect when it is signed or only if the victim of a disability.

Power of Attorney Step 5: In Section 5, those who have indicated the document will take effect as soon as they have signed should indicate whether the powers granted will remain intact or be revoked in the event of a disability.

Power of Attorney Step 6: If you wish to limit the amount of time this document will have effect, note the end date in Section 6.

Power of Attorney Step 7: Section 7 does not need to completed. It instructs those signing that if they wish to revoke this document they may destroy the original copy of this form and complete a new power of attorney or a revocation of the former power of authority.

Power of Attorney Step 8: In Section 8, indicate whether you have completed a separate Alaska Advance Health Care Directive stipulating what to do if you are hurt, fall ill or otherwise become incapable of making medical care decisions. This document will take precedence over this power of attorney.

Power of Attorney Step 9 : You and your representative should sign and date the document before a notary, who should do the same.

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Statement of Opposition

Statement of Opposition

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Cash Bond

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Notice to Prior Court of Proceedings Affecting Minor(s)

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Request and Notice for Film and Electronic Media Coverage of Court Proceedings

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Affidavit to Report a Driver Who May Be Unable to Safely Operate a Motor Vehicle

Affidavit to Report a Driver Who May Be Unable to Safely Operate a Motor Vehicle

INSTRUCTIONS: CONNECTICUT AFFIDAVIT TO REPORT A DRIVER WHO MAY BE UNABLE TO SAFELY OPERATE A MOTOR VEHICLE (Form P-244)

 

 

To report an operator who you believe may be unable to safely operate a motor vehicle in Connecticut, file a form P-244. This affidavit can be obtained from the website of the state of Connecticut.

 

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 1: Print your name on the first blank line.

 

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 2: Enter the name of the driver who may be unable to safely operate a motor vehicle on the second blank line.

 

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 3: Enter the date of birth of this driver on the third blank line.

 

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 4: Enter the city, state and zip code of this driver on the fourth blank line.

 

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 5: Where indicated, briefly describe the incident which leads you to believe this driver may be unable to safely operate a motor vehicle.

 

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 6: Indicate with a check mark whether you have a relationship to this driver. If so, describe your relationship.

 

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 7: Indicate with a check mark whether you are aware of any medical condition which may adversely affect the driver's ability to safely operate a motor vehicle. If so, provide an explanation.

 

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 8: Enter your signature and address in the first two blank boxes at the bottom of the page.

 

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 9: Enter your city, state, zip code, printed name, telephone number and the date, then appear before a notary public for their seal.

 

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Form E-140 Automobile Club Association Bond

Form E-140 Automobile Club Association Bond

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Form P-142OP Eye Care Professional’s Medical Report

Form P-142OP Eye Care Professional's Medical Report

 

INSTRUCTIONS: CONNECTICUT EYE CARE PROFESSIONAL'S MEDICAL REPORT (Form P-142OP)

 

 

In order to receive a Connecticut license to operate a public service motor vehicle or service bus, you must have your vision examined by an eye care professional. Your examination is documented using a form P-142OP, which can be found on the website of the government of the state of Connecticut.

 

Connecticut Eye Care Professional's Medical Report P-142OP Step 1: Enter the date of the incident being addressed in the top right-hand corner.

 

Connecticut Eye Care Professional's Medical Report P-142OP Step 2: The patient should enter their signature in the first blank box and the date in the second blank box. The form should then be given to the medical professional for completion.

 

Connecticut Eye Care Professional's Medical Report P-142OP Step 3: Enter the patient's name in the third blank box.

 

Connecticut Eye Care Professional's Medical Report P-142OP Step 4: Enter the patient's date of birth in the fourth blank box.

 

Connecticut Eye Care Professional's Medical Report P-142OP Step 5: Enter the patient's telephone number in the fifth blank box.

 

Connecticut Eye Care Professional's Medical Report P-142OP Step 6: Enter the patient's street address, city, state and zip code in the sixth blank box.

 

Connecticut Eye Care Professional's Medical Report P-142OP Step 7: Enter the date of the last examination in the seventh blank box.

 

Connecticut Eye Care Professional's Medical Report P-142OP Step 8: Enter the patient's visual acuity information for both eyes where indicated.

 

Connecticut Eye Care Professional's Medical Report P-142OP Step 9: Indicate with a check mark whether the patient requires corrective lenses for driving.

 

Connecticut Eye Care Professional's Medical Report P-142OP Step 10: If both eyes are present, enter the uninterrupted binocular peripheral visual field in the horizontal median where indicated.

 

Connecticut Eye Care Professional's Medical Report P-142OP Step 11: If only one eye is present, enter the uninterrupted monocular peripheral visual field in the horizontal median where indicated.

 

Connecticut Eye Care Professional's Medical Report P-142OP Step 12: If the patient's best corrected vision is 20/70 or worse, give a written explanation of the cause where indicated.

 

Connecticut Eye Care Professional's Medical Report P-142OP Step 13: Answer all remaining questions on the form as instructed.

 

Connecticut Eye Care Professional's Medical Report P-142OP Step 14: Sign and date the bottom of the form, as well as providing your telephone number and your medical professional license number.

 

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Form K-88 Storage Rates Posting

Form K-88 Storage Rates Posting

 

INSTRUCTIONS: CONNECTICUT STORAGE RATES POSTING (Form K-88)

 

 

Connecticut storage facilities for motor vehicles are required to post a form K-88 documenting the standard rates for storage. This document can be obtained from the website of the government of the state of Connecticut.

 

Connecticut Storage Rates Posting K-88 Step 1: Enter your business name and address in the first blank box.

 

Connecticut Storage Rates Posting K-88 Step 2: Enter your license number in the second blank box.

 

Connecticut Storage Rates Posting K-88 Step 3: Enter your business hours in the third blank box.

 

Connecticut Storage Rates Posting K-88 Step 4: Enter the days and hours when vehicles can be claimed by customers in the fourth blank box.

 

Connecticut Storage Rates Posting K-88 Step 5: Enter the name of the licensee in the fifth blank box.

 

Connecticut Storage Rates Posting K-88 Step 6: Enter the number of wreckers in the sixth blank box.

 

Connecticut Storage Rates Posting K-88 Step 7: Enter the wrecker registration plate numbers in the seventh blank box.

 

Connecticut Storage Rates Posting K-88 Step 8: Enter the size of the storage lot in the eighth blank box.

 

Connecticut Storage Rates Posting K-88 Step 9: The table provided below has the standard storage rates. The first line concerns vehicles that are under 20 feet in length. The first column contains the storage rates for 5 days or less inside.

 

Connecticut Storage Rates Posting K-88 Step 10: The second column concerns the storage rates for more than 5 days inside.

 

Connecticut Storage Rates Posting K-88 Step 11: The third column concerns the storage rates for 5 days or less outside in a fenced, lighted and protected area.

 

Connecticut Storage Rates Posting K-88 Step 12: The fourth column concerns the storage rates for more than 5 days outside in a fenced, lighted and protected area.

 

Connecticut Storage Rates Posting K-88 Step 13: The fifth column concerns the storage rates for 5 days or less in an outside area.

 

Connecticut Storage Rates Posting K-88 Step 14: The sixth column concerns the storage rates for more than 5 days in an outside area.

 

Connecticut Storage Rates Posting K-88 Step 15: The second line concerns storage rates for vehicles which are 20 feet to 32 feet long.

 

Connecticut Storage Rates Posting K-88 Step 16: The third line concerns storage rates for vehicles which are longer than 32 feet.

 

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Form UCR-1 Unified Carrier Registration 2009

Form UCR-1 Unified Carrier Registration  2009

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