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Form B-307 Application for a Learner’s Permit

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.

 

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Form P-142C Cardiology Medical Report

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.

 

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R-229 Application for Non-Commercial Class D Driver License

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.

 

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