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Request to Modify or Dismiss No Contact Order I.C.R. 46.2(b)

Request to Modify or Dismiss No Contact Order I.C.R. 46.2(b)

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Judicial Assistant Manual Application

Judicial Assistant Manual Application

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Motion, Affidavit, and Bench Warrant

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Order for Service by Publication/Posting and Notice of Action

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Taxation of Costs

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R-7 Application for Public Passenger Endorsement

R-7 Application for Public Passenger Endorsement

 

INSTRUCTIONS: CONNECTICUT APPLICATION FOR PUBLIC PASSENGER ENDORSEMENT (Form R-7)

 

 

To operate a Connecticut school bus, student transportation vehicle, activity vehicle or service bus, taxi or livery, you must apply for a public passenger endorsement. This is done using a form R-7, which can be obtained from the website of the government of Connecticut.

 

Connecticut Application For Public Passenger Endorsement R-7 Step 1: Enter your last name, first name and middle initial in box 1.

 

Connecticut Application For Public Passenger Endorsement R-7 Step 2: Indicate your gender with a check mark in box 2.

 

Connecticut Application For Public Passenger Endorsement R-7 Step 3: Enter your date of birth in box 3, your eye color in box 4, and your height in box 5.

 

Connecticut Application For Public Passenger Endorsement R-7 Step 4: Enter your mailing address in box 6 and your birthplace in box 7.

 

Connecticut Application For Public Passenger Endorsement R-7 Step 5: If your residential address is different from your mailing address, enter it in box 8.

 

Connecticut Application For Public Passenger Endorsement R-7 Step 6: Enter your email address in box 9 and indicate whether you wish to be informed of the status of your application via email with a check mark.

 

Connecticut Application For Public Passenger Endorsement R-7 Step 7: Enter the name and place of your employment in box 10 and list any other names you have used in box 11.

 

Connecticut Application For Public Passenger Endorsement R-7 Step 8: Indicate whether you are a resident of Connecticut in box 12 with a check mark. If so, give the year in which you became a resident.

 

Connecticut Application For Public Passenger Endorsement R-7 Step 9: Enter your Social Security number in box 13.

 

Connecticut Application For Public Passenger Endorsement R-7 Step 10: In box 14, indicate with a check mark whether you are applying for a school bus (S) endorsement, student transportation (V) endorsement, activity vehicle (A) endorsement, or service bus, taxi and livery (F) endorsement.

 

Connecticut Application For Public Passenger Endorsement R-7 Step 11: Enter your operator license number in box 15 and your daytime phone number in box 16.

 

Connecticut Application For Public Passenger Endorsement R-7 Step 12: Enter your name, the date and your signature where indicated, then answer questions 17 through 23 as instructed.

 

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Form K-35 Complaint Against CT Licensed Dealer or Repairer

Form K-35 Complaint Against CT Licensed Dealer or Repairer

 

INSTRUCTIONS: COMPLAINT AGAINST CT LICENSED DEALER OR REPAIRER (Form K-35)

 

 

To file a complaint against a Connecticut licensed dealer or repairer, use a form K-35. This document can be obtained from the website of the government of the state of Connecticut.

 

Complaint Against CT Licensed Dealer Or Repairer K-35 Step 1: The first section concerns the the repair shop or dealership. Enter the business name as it appears on your invoice in the first blank box.

 

Complaint Against CT Licensed Dealer Or Repairer K-35 Step 2: Enter the dates during which your vehicle was in the custody of the business in the second blank box.

 

Complaint Against CT Licensed Dealer Or Repairer K-35 Step 3: Enter the business street address, city or town, state and zip code in the next two blank boxes.

 

Complaint Against CT Licensed Dealer Or Repairer K-35 Step 4: Enter the dealer or repairer phone number in the next blank box.

 

Complaint Against CT Licensed Dealer Or Repairer K-35 Step 5: Enter the name of the person you dealt with in the next blank box.

 

Complaint Against CT Licensed Dealer Or Repairer K-35 Step 6: The next person concerns the complainant. Enter your name in the first blank box.

 

Complaint Against CT Licensed Dealer Or Repairer K-35 Step 7: Enter the date of service or sale in the next blank box.

 

Complaint Against CT Licensed Dealer Or Repairer K-35 Step 8: Enter your street address, city or town, state and zip code in the next blank box.

 

Complaint Against CT Licensed Dealer Or Repairer K-35 Step 9: Enter your phone number between the hours of 8 a.m. to 4 p.m., Monday through Friday, in the next blank box.

 

Complaint Against CT Licensed Dealer Or Repairer K-35 Step 10: The next section concerns your vehicle. In the first four blank boxes of this section, enter its make, model, year and marker plate number.

 

Complaint Against CT Licensed Dealer Or Repairer K-35 Step 11: In the next three blank boxes, enter the vehicle identification number, current odometer reading and odometer reading at the time of repair or sale.

 

Complaint Against CT Licensed Dealer Or Repairer K-35 Step 12: Indicate the nature of your complaint with a check mark.

 

Complaint Against CT Licensed Dealer Or Repairer K-35 Step 13: Provide a written explanation of your complaint. Sign and date the bottom of the page.

 

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Form P-246 Ignition Interlock Device – Installation Application

Form P-246 Ignition Interlock Device - Installation Application

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Form P-142R Respiratory Diseases

Form P-142R Respiratory Diseases

 

 

INSTRUCTIONS: CONNECTICUT RESPIRATORY DISEASES (Form P-142R)

 

 

 

When a Connecticut driver is referred to the state Department of Motor Vehicles over concerns regarding their ability to operate a motor vehicle safely due to a respiratory disease, a form P-142R is used to submit the evaluation of a medical professional. This document can be obtained from the website of the government of Connecticut.

 

Connecticut Respiratory Diseases P-142R Step 1: The patient will enter their signature in the first blank box and the date in the second blank box to authorize the release of the medical report in question and related materials to the Department of Motor Vehicles. The remainder of the form should be completed by the medical professional.

 

Connecticut Respiratory Diseases P-142R Step 2: Enter the patient's name in the third blank box.

 

Connecticut Respiratory Diseases P-142R Step 3: Enter the patient's date of birth in the fourth blank box.

 

Connecticut Respiratory Diseases P-142R Step 4: Enter the patient's telephone number in the fifth blank box.

 

Connecticut Respiratory Diseases P-142R Step 5: Enter the patient's full address in the sixth blank box.

 

Connecticut Respiratory Diseases P-142R Step 6: Enter the date of the patient's last examination and how long you have been treating them in the seventh blank box.

 

Connecticut Respiratory Diseases P-142R Step 7: Indicate with a check mark whether the patient has asthma, sleep apnea, chronic obstructive pulmonary disease or other. If the latter, provide an explanation.

 

Connecticut Respiratory Diseases P-142R Step 8: Indicate whether this is a progressive illness with a check mark. If yes, comment on the progress of the illness.

 

Connecticut Respiratory Diseases P-142R Step 9: Indicate whether special aids or devices must be utilized while the patient is operating a motor vehicle with a check mark. If yes, specify.

 

Connecticut Respiratory Diseases P-142R Step 10: Indicate with a check mark whether the patient is capable of exhaling 1000cc of air in one continuous breath during operation of an ignition interlock device. If no, provide an explanation.

 

Connecticut Respiratory Diseases P-142R Step 11: Indicate with a check mark whether you believe the patient understands the risk posed by their condition that may affect safe motor vehicle operation.

 

Connecticut Respiratory Diseases P-142R Step 12: Answer all remaining questions as instructed and provide all required identifying information at the bottom of the form.

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Form 82916 Agricultural Land Use Application

Form 82916 Agricultural Land Use Application

 

INSTRUCTIONS: ARIZONA AGRICULTURAL LAND USE APPLICATION (Form 82916)
 
To apply for agricultural classification for Arizona property not currently classified or qualified as agricultural, a form 82916 must be filed by its owner or their designated agent. This form must also be filed when property is purchased by the new owner within 60 days to maintain agricultural designation. This document can be obtained from the website maintained by the Arizona Department of Revenue.
 
Arizona Agricultural Land Use Application 82916 Step 1: On the first line of section A, enter your filing date.
 
Arizona Agricultural Land Use Application 82916 Step 2: On the second line of section A, enter your county name.
 
Arizona Agricultural Land Use Application 82916 Step 3: In section B, enter the name and full address of the taxpayer.
 
Arizona Agricultural Land Use Application 82916 Step 4: Section C is only to be completed if the land has not been in production for seven of the last ten years, and/or if the unit contains less acreage or animal units than minimally required for such classification. If so, provide a written explanation or attach additional documentation as appropriate.
 
Arizona Agricultural Land Use Application 82916 Step 5: Section D requires you to list all parcels for prospective agricultural use. For each parcel, enter its book-map-parcel number in the second column.
 
Arizona Agricultural Land Use Application 82916 Step 6: Enter each parcel's acreage in the second column of Section D.
 
Arizona Agricultural Land Use Application 82916 Step 7: Enter each parcel's land use in the third column of Section D.
 
Arizona Agricultural Land Use Application 82916 Step 8: Enter each parcel's PUC in the fourth column of Section D.
 
Arizona Agricultural Land Use Application 82916 Step 9: Section E requires you to document all land leased to you. In the first column, enter the names and addresses of any applicable owners or government leases.
 
Arizona Agricultural Land Use Application 82916 Step 10: In the second column, enter the number of acres.
 
Arizona Agricultural Land Use Application 82916 Step 11: Enter the beginning date of each lease in the third column and the ending date in the fourth column.
 
Arizona Agricultural Land Use Application 82916 Step 12: Enter the book-map-parcel number of each lease in the fifth column.
 
Arizona Agricultural Land Use Application 82916 Step 13: Sign and date Section F and provide all information requested.
 

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