INSTRUCTIONS: CONNECTICUT APPLICATION FOR LIFE SETTLEMENT PROVIDER LICENSE

To apply for a life settlement provider license in Connecticut, use the form discussed in this article. This document can be obtained from the website of the government of Connecticut.

Connecticut Application For Life Settlement Provider License Step 1: In the left hand portion of section 1, enter the name, mailing address, city, state, zip code, phone number, fax number and email address of the applicant.

Connecticut Application For Life Settlement Provider License Step 2: In the right hand portion of section 1, enter the physical address of the applicant, their city, state and zip code.

Connecticut Application For Life Settlement Provider License Step 3: In section 2, indicate whether the applicant is an individual, limited liability corporation, corporation, partnership or other with a checkmark. If a corporation, give the date of incorporation and the state in which this occurred. If other, explain.

Connecticut Application For Life Settlement Provider License Step 4: In section 3, give the name of a contact person to whom future correspondence from the Insurance Department should be addressed, as well as their phone number, fax number and email address.

Connecticut Application For Life Settlement Provider License Step 5: Section 4 details information that must be included in a detailed plan of operation.

Connecticut Application For Life Settlement Provider License Step 6: Sections 5 through 13 detail other information that must be submitted along with this application.

Connecticut Application For Life Settlement Provider License Step 7: On the fourth page, answer all questions by checking "Yes" or "No" as applicable.

Connecticut Application For Life Settlement Provider License Step 8: The fifth page is a certification of accuracy which must be completed by the applicant. Enter your signature on the first blank line.

Connecticut Application For Life Settlement Provider License Step 9: Print your name on the second blank line.

Connecticut Application For Life Settlement Provider License Step 10: Enter your title on the third blank line.

Connecticut Application For Life Settlement Provider License Step 11: The fifth page must be presented to a notary public, who will affix their seal.

Connecticut Application For Life Settlement Provider License Step 12: Pages 6 through or 9 contain a biographical affidavit which must be completed by the affidavit. Page 10 contains a certificate of accuracy regarding this affidavit.

INSTRUCTIONS: CONNECTICUT CITIZENS' ELECTION PROGRAM – REPLACEMENT PARTICIPATING CANDIDATE (SEEC Form CEP 14)

When a Connecticut candidate withdraws from an election, a SEEC form CEP 14 is used to certify their replacement. This document can be obtained from the website of the government of Connecticut.

Connecticut Citizens' Election Program – Replacement Participating Candidate SEEC Form CEP 14 Step 1: Section A concerns identifying information. Enter the election date in box 1, the office sought in box 2 and the district number.

Connecticut Citizens' Election Program – Replacement Participating Candidate SEEC Form CEP 14 Step 2: Enter the candidate name in box 4.

Connecticut Citizens' Election Program – Replacement Participating Candidate SEEC Form CEP 14 Step 3: Enter the candidate residence address in box 5.

Connecticut Citizens' Election Program – Replacement Participating Candidate SEEC Form CEP 14 Step 4: Enter the candidate mailing address, if different, in box 6.

Connecticut Citizens' Election Program – Replacement Participating Candidate SEEC Form CEP 14 Step 5: Enter the candidate treasurer telephone number in box 7.

Connecticut Citizens' Election Program – Replacement Participating Candidate SEEC Form CEP 14 Step 6: Enter the candidate email address in box 8.

Connecticut Citizens' Election Program – Replacement Participating Candidate SEEC Form CEP 14 Step 7: Enter the treasurer name in box 9.

Connecticut Citizens' Election Program – Replacement Participating Candidate SEEC Form CEP 14 Step 8: Enter the treasurer residence address in box 10 and their mailing address, if different, in box 11.

Connecticut Citizens' Election Program – Replacement Participating Candidate SEEC Form CEP 14 Step 9: Enter the treasurer telephone number in box 12 and their email address in box 13.

Connecticut Citizens' Election Program – Replacement Participating Candidate SEEC Form CEP 14 Step 10: Enter the deputy treasurer name in box 14, their residence address in box 15, and their mailing address, if different, in box 16.

Connecticut Citizens' Election Program – Replacement Participating Candidate SEEC Form CEP 14 Step 11: Enter the deputy treasurer telephone number in box 17 and their email address in box 18.

Connecticut Citizens' Election Program – Replacement Participating Candidate SEEC Form CEP 14 Step 12: Enter the committee name in box 19, the party nominating the candidate in box 20, and the name of the candidate being replaced in box 21. Complete the rest of the form as instructed.

INSTRUCTIONS: CONNECTICUT CERTIFICATION OF COMMITTEES ESTABLISHED BY OR ON BEHALF OF A REGISTERED LOBBYIST (SEEC Form B-3)

When any political committee is established by or on behalf of a registered lobbyist in Connecticut, a form B-3 must be submitted on November 15th in the year of its formation and by that same date on a biennial basis afterwards. This document can be found on the website of the government of Connecticut.

Connecticut Certification Of Committees Established By Or On Behalf Of A Registered Lobbyist SEEC Form B-3 Step 1: Enter the committee name in the first section.

Connecticut Certification Of Committees Established By Or On Behalf Of A Registered Lobbyist SEEC Form B-3 Step 2: Enter the first name of the treasurer in the first blank box of the section designation for this information.

Connecticut Certification Of Committees Established By Or On Behalf Of A Registered Lobbyist SEEC Form B-3 Step 3: Enter the treasurer's middle initial in the second blank box.

Connecticut Certification Of Committees Established By Or On Behalf Of A Registered Lobbyist SEEC Form B-3 Step 4: Enter the treasurer's last name in the third blank box.

Connecticut Certification Of Committees Established By Or On Behalf Of A Registered Lobbyist SEEC Form B-3 Step 5: Enter the treasurer's suffix, if applicable, in the fourth blank box.

Connecticut Certification Of Committees Established By Or On Behalf Of A Registered Lobbyist SEEC Form B-3 Step 6: The next section concerns the treasurer's residence address. Enter their street address in the first blank box of this section, their city in the second blank box, their state in the third blank box and their zip code in the fourth blank box.

Connecticut Certification Of Committees Established By Or On Behalf Of A Registered Lobbyist SEEC Form B-3 Step 7: If the treasurer's mailing address is different from their residential address, provide it in the next section.

Connecticut Certification Of Committees Established By Or On Behalf Of A Registered Lobbyist SEEC Form B-3 Step 8: In the next section designated for this purpose, enter the treasurer's phone number.

Connecticut Certification Of Committees Established By Or On Behalf Of A Registered Lobbyist SEEC Form B-3 Step 9: Provide the treasurer's email address where indicated. 

Connecticut Certification Of Committees Established By Or On Behalf Of A Registered Lobbyist SEEC Form B-3 Step 10: The treasurer should sign and date the form.

INSTRUCTIONS: CONNECTICUT APPLICATION FOR REFERRAL OF CASE TO THE COMPLEX LITIGATION DOCKET (CLD) (Form JD-CV-39)

To apply to refer a Connecticut case to the complex litigation docket, a form JD-CV-39 must be completed. This document can be obtained from the website of the Connecticut Judicial Branch.

Connecticut Application For Referral Of Case To The Complex Litigation Docket (CLD) JD-CV-39 Step 1: Enter the name and address of the applicant, the juris number, and the applicant's telephone number.

Connecticut Application For Referral Of Case To The Complex Litigation Docket (CLD) JD-CV-39 Step 2: In box 1, enter the case name.

Connecticut Application For Referral Of Case To The Complex Litigation Docket (CLD) JD-CV-39 Step 3: In box 2, enter the juris number.

Connecticut Application For Referral Of Case To The Complex Litigation Docket (CLD) JD-CV-39 Step 4: In box 3, enter the name of the judicial district in which the case is pending.

Connecticut Application For Referral Of Case To The Complex Litigation Docket (CLD) JD-CV-39 Step 5: In box 4, enter the return date of the original complaint.

Connecticut Application For Referral Of Case To The Complex Litigation Docket (CLD) JD-CV-39 Step 6: In the table provided on line 5, enter the name of each plaintiff, as well as the name, address and telephone number of all plaintiff counsel. Provide the same information for all defendants their counsel in the table on line 6.

Connecticut Application For Referral Of Case To The Complex Litigation Docket (CLD) JD-CV-39 Step 7: On line 7a, indicate with a check mark whether the opposing counsel opposes transfer to CDL. On line 7b, indicate with a check mark whether the opposign counsel opposes transfer to the CDL location requested on this application.

Connecticut Application For Referral Of Case To The Complex Litigation Docket (CLD) JD-CV-39 Step 8: On line 8, briefly describe the nature of the case.

Connecticut Application For Referral Of Case To The Complex Litigation Docket (CLD) JD-CV-39 Step 9: List any cases with which the case is consolidated on line 9.

Connecticut Application For Referral Of Case To The Complex Litigation Docket (CLD) JD-CV-39 Step 10: Answer questions 10 through 14 as directed.

Connecticut Application For Referral Of Case To The Complex Litigation Docket (CLD) JD-CV-39 Step 11: The bottom portion of the form certifies a copy of this document has been mailed to all involved parties and attorneys.