INSTRUCTIONS: CONNECTICUT APPLICATION FOR DRIVER EDUCATION PROGRAM (Form R-318)

Connecticut schools operating a driver education program directly or through a commercial education program should complete a form R-318. This document can be obtained from the website of the government of Connecticut.

Connecticut Application For Driver Education Program R-318 Step 1: Section 1 concerns the school. In the first three blank boxes, enter its name, the date the form is being completed on and the school address.

Connecticut Application For Driver Education Program R-318 Step 2: In the next five blank boxes, enter the school's previous driver's education certificate number (if any), anticipated enrollment, the name and title of the person completing the form, a work telephone number and the best time to contact the school through this number.

Connecticut Application For Driver Education Program R-318 Step 3: Enter the dates on which the school year started and indicate the status of the driver education program with a check mark.

Connecticut Application For Driver Education Program R-318 Step 4: Section 2 concerns contact person information. Enter the name of the person in charge of the program, their work telephone number and the best time to contact them. If the program is performed by a commercial school, enter the name of the liaison at the secondary school, their work telephone number and the best time to contact them.

Connecticut Application For Driver Education Program R-318 Step 5: Section 3 concerns driver education fees. Provide all information requested.

Connecticut Application For Driver Education Program R-318 Step 6: Section 4 requires you to provide information about the schedule of the program.

Connecticut Application For Driver Education Program R-318 Step 7: Section 5 concerns textbooks. Enter the name of the textbook used, its publisher, its edition, and the year it was published.

Connecticut Application For Driver Education Program R-318 Step 8: Section 6 concerns program offerings. Provide all information requested.

Connecticut Application For Driver Education Program R-318 Step 9: Sections 7 through 9 should only be completed if the program is being operated directly by the school. Section 7 concerns insurance, section 8 concerns vehicles used, and section 9 requires you to detail the instructors.

Connecticut Application For Driver Education Program R-318 Step 10: A school official should sign and date section 10, as well as providing their title.

INSTRUCTIONS: CONNECTICUT COPY RECORDS REQUEST (Form J-23)

To request copies of records maintained by the Connecticut Department of Motor Vehicles, use a form J-23. This document can be obtained from the website of the government of the state of Connecticut.

Connecticut Copy Records Request J-23 Step 1: The first three forms listed are license records. Check the box next to any such records you wish to receive copies of. 

Connecticut Copy Records Request J-23 Step 2: The next four forms listed are registration records. Check the box next to any such records you wish to receive copies of.

Connecticut Copy Records Request J-23 Step 3: If you wish to make a miscellaneous request, check the box where indicated.

Connecticut Copy Records Request J-23 Step 4: If filing multiple requests, check the box where indicated. A separate sheet must be attached for each request.

Connecticut Copy Records Request J-23 Step 5: Read the instructions on the second page and specify your code number where indicated.

Connecticut Copy Records Request J-23 Step 6: The applicant should sign and print their name in the next two blank boxes and enter the date in the blank box after this.

Connecticut Copy Records Request J-23 Step 7: Section 1 must be completed if requesting any license records. Enter the driver's name and license number in the first two blank boxes of this section.

Connecticut Copy Records Request J-23 Step 8: Enter the driver's address and date of birth in the next two blank boxes.

Connecticut Copy Records Request J-23 Step 9: Sections 2 and 3 must be completed if requesting registration records. Enter the owner's last name, first name and middle initial in the first blank box.

Connecticut Copy Records Request J-23 Step 10: Enter the owner's street address, city or town, state and zip code in the next blank box.

Connecticut Copy Records Request J-23 Step 11: In the next blank box, enter the vehicle identification number.

Connecticut Copy Records Request J-23 Step 12: In the next four blank boxes, enter the vehicle make, year, registration plate number and the date as of which this has been the plate number.

Connecticut Copy Records Request J-23 Step 13: If filing a miscellaneous request, specify in Section 4.

Connecticut Copy Records Request J-23 Step 14: Calculate the total fee owed as instructed.

INSTRUCTIONS: CONNECTICUT DIABETES MEDICAL REPORT (Form P-142D)

When a Connecticut driver is involved in an incident that may be related to diabetes, they may be required to undergo an exam by a medical professional. The results of this examination are documented on a form P-142D. This document can be obtained from the website of the government of Connecticut.

Connecticut Diabetes Medical Report P-142D Step 1: Enter the date of the incident being addressed in the top right hand corner.

Connecticut Diabetes Medical Report P-142D Step 2: In the first two blank boxes, the patient should enter their signature and the date. The form should then be submitted to the medical professional performing the examination, who will complete the remainder.

Connecticut Diabetes Medical Report P-142D Step 3: Enter the patient's last name, first name and middle initial in the third blank box.

Connecticut Diabetes Medical Report P-142D Step 4: Enter the patient's date of birth in the fourth blank box.

Connecticut Diabetes Medical Report P-142D Step 5: Enter the patient's telephone number in the fifth blank box.

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

Connecticut Diabetes Medical Report P-142D Step 7: Enter the date on which the onset of diabetes was documented in the seventh blank box.

Connecticut Diabetes Medical Report P-142D Step 8: In the eight blank box, enter the amount of time you have been treating this patient for diabetes.

Connecticut Diabetes Medical Report P-142D Step 9: In the ninth blank box, enter how often you see this patient regarding diabetes.

Connecticut Diabetes Medical Report P-142D Step 10: In the tenth blank box, enter the date of the last examination.

Connecticut Diabetes Medical Report P-142D Step 11: The next section concerns current therapy. Answer all questions as directed.

Connecticut Diabetes Medical Report P-142D Step 12: The next section requires you to document associated clinical phenomena by checking "yes" or "no" in the appropriate column in response to each question and providing all supplemental information requested.

Connecticut Diabetes Medical Report P-142D Step 13: Answer all remaining questions by checking "yes" or "no" and providing all supplemental information requested.

Connecticut Diabetes Medical Report P-142D Step 14: Print and sign your name and provide all identifying information requested at the bottom of the form.