INSTRUCTIONS: CONNECTICUT TRANSPORTER'S REGISTRATION APPLICATION SUPPLEMENT (Form E-211)

When registering as a Connecticut transporter, a form E-211 is filed as a supplement to the main registration form. This document can be obtained from the website of the government of Connecticut.

Connecticut Transporter's Registration Application Supplement E-211 Step 1: Enter the name of the applicant in the first blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 2: Enter the name of a contact person in the second blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 3: Enter the street address, city or town, state and zip code of the business in the third blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 4: Enter the type of business in the fourth blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 5: Enter the federal employer identification number in the fifth blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 6: Enter the business telephone number in the sixth blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 7: Enter the annual anticipated frequency of use of the transporter's registration in the seventh blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 8: Enter the sales tax number in the eighth blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 9: Enter the registration plates of all other current transporter's registrations in the applicant's name in the ninth blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 10: List the types of vehicles for which the transporter's registration will be used in the tenth blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 11: In the next section, provide a written explanation of the intended use by the registrant of the plate for periodic use on motor vehicles owned by or in the legal custody of the applicant.

Connecticut Transporter's Registration Application Supplement E-211 Step 12: Print your name in the first blank box at the bottom of the page.

Connecticut Transporter's Registration Application Supplement E-211 Step 13: Enter your position with the business in the second blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 14: Enter your signature in the third blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 15: Enter the date in the fourth blank box.

Connecticut Transporter's Registration Application Supplement E-211 Step 16: Return the form to the address given at the top of the page.

INSTRUCTIONS: CONNECTICUT VOLUNTARY SURRENDER OR DOWNGRADE OF OPERATOR LICENSE (Form P-147)

To voluntarily surrender or request a downgrade of a Connecticut motor vehicle license, a form P-147 is used. This document can be obtained from the website of the government of the state of Connecticut.

Connecticut Voluntary Surrender Or Downgrade Of Operator License P-147 Step 1: In the first blank box, enter your last name, first name and middle name.

Connecticut Voluntary Surrender Or Downgrade Of Operator License P-147 Step 2: In the second blank box, enter your date of birth.

Connecticut Voluntary Surrender Or Downgrade Of Operator License P-147 Step 3: In the third blank box, enter your operator license number.

Connecticut Voluntary Surrender Or Downgrade Of Operator License P-147 Step 4: In the fourth blank box, enter your address.

Connecticut Voluntary Surrender Or Downgrade Of Operator License P-147 Step 5: The first section should only be completed if you are voluntarily surrendering your license. Check the first box if you are doing so for insurance reasons.

Connecticut Voluntary Surrender Or Downgrade Of Operator License P-147 Step 6: Check the second box if you are voluntarily surrendering your license for medical reasons.

Connecticut Voluntary Surrender Or Downgrade Of Operator License P-147 Step 7: Check the third box if you are voluntarily surrendering your license for other reasons and provide an explanation.

Connecticut Voluntary Surrender Or Downgrade Of Operator License P-147 Step 8: The second section is for those requesting a voluntary downgrade of their license. The first part of this section concerns those wishing to downgrade from a CDL to a lower class CDL or non-CDL license. On the first two blank lines, enter your current class and endorsement restrictions.

Connecticut Voluntary Surrender Or Downgrade Of Operator License P-147 Step 9: On the next two blank lines, enter the CDL and endorsement restrictions you wish to be downgraded to.

Connecticut Voluntary Surrender Or Downgrade Of Operator License P-147 Step 10: Enter your reason for requesting this downgrade.

Connecticut Voluntary Surrender Or Downgrade Of Operator License P-147 Step 11: The next section is for those who wish to drop their public passenger endorsement. Enter your current class and endorsement restrictions, the class and endorsement restrictions you wish to be downgraded to, and your reason.

Connecticut Voluntary Surrender Or Downgrade Of Operator License P-147 Step 12: Enter your signature and the date at the bottom of the page.

INSTRUCTIONS: ALABAMA APPLICATION FOR LICENSURE OF PHYSICIAN ASSISTANT

As part of the application to be licensed as a physician assistant in Alabama, the form discussed in this article should be filed. This document can be obtained from the website maintained by the Alabama Board of Medical Examiners.

Alabama Application For Licensure Of Physician Assistant Step 1: Section I concerns identifying information. Enter your name in full on the first blank line.

Alabama Application For Licensure Of Physician Assistant Step 2: Enter your home street address on the second blank line.

Alabama Application For Licensure Of Physician Assistant Step 3: Enter your city on the third blank line.

Alabama Application For Licensure Of Physician Assistant Step 4: Enter your state on the fourth blank line.

Alabama Application For Licensure Of Physician Assistant Step 5: Enter your zip code on the fifth blank line.

Alabama Application For Licensure Of Physician Assistant Step 6: Enter your place of birth on the sixth blank line.

Alabama Application For Licensure Of Physician Assistant Step 7: Enter your date of birth on the seventh blank line.

Alabama Application For Licensure Of Physician Assistant Step 8: Enter your sex on the eighth blank line.

Alabama Application For Licensure Of Physician Assistant Step 9: Enter your Social Security number on the ninth blank line.

Alabama Application For Licensure Of Physician Assistant Step 10: Enter your home telephone number, including the area code, on the tenth blank line.

Alabama Application For Licensure Of Physician Assistant Step 11: Section II contains 20 questions that must be answered by checking "Yes" or "No" as appropriate. If you answer "Yes" to any of them, you must attach a detailed explanation or the document requested.

Alabama Application For Licensure Of Physician Assistant Step 12: Section III requires you to document your education since graduating from high school. Enter the beginning and ending dates of your attendance in the first column, the name of each school in the second column, and the school's address in the third column.

Alabama Application For Licensure Of Physician Assistant Step 13: Section IV requires you to document your work activities since graduating from high school.

Alabama Application For Licensure Of Physician Assistant Step 14: In section V, list all places you have been certified, registered or licensed as a physician assistant. Sign and date Section VI before a notary public.

INSTRUCTIONS: PATIENT APPROVAL FORMS ALABAMA DENTAL HYGIENE LICENSURE EXAM

As part of the Alabama dental hygiene licensing process, exams are conducted in which patients agree to receive free treatment and assume the attendant risks. This article discusses the patient release forms which must be signed as part of this process. This packet can be obtained from the website maintained by the Alabama Board of Dental Examiners.

Patient Approval Forms Alabama Dental Hygiene Licensure Exam Step 1: The first page is a cover page.

Patient Approval Forms Alabama Dental Hygiene Licensure Exam Step 2: The second page is a release form. On the first blank line, the patient will enter their signature.

Patient Approval Forms Alabama Dental Hygiene Licensure Exam Step 3: On the second blank line, the patient will enter their date of birth.

Patient Approval Forms Alabama Dental Hygiene Licensure Exam Step 4: On the third blank line, the patient will enter the candidate identification number.

Patient Approval Forms Alabama Dental Hygiene Licensure Exam Step 5: On the fourth blank line, if the patient is a minor, their parent or guardian will enter their signature.

Patient Approval Forms Alabama Dental Hygiene Licensure Exam Step 6: On the fifth blank line, the patient or their parent or guardian will print their name.

Patient Approval Forms Alabama Dental Hygiene Licensure Exam Step 7: On the sixth blank line, the patient or their parent or guardian will enter their street address.

Patient Approval Forms Alabama Dental Hygiene Licensure Exam Step 8: On the seventh blank line, the patient or their parent or guardian will enter their city.

Patient Approval Forms Alabama Dental Hygiene Licensure Exam Step 9: On the eighth blank line, the patient or their parent or guardian will enter their state.

Patient Approval Forms Alabama Dental Hygiene Licensure Exam Step 10: On the ninth blank line, the patient or their parent or guardian will enter their zip code.

Patient Approval Forms Alabama Dental Hygiene Licensure Exam Step 11: The third page requires the signature and identification information of a witness.

Patient Approval Forms Alabama Dental Hygiene Licensure Exam Step 12: The fourth page is an information document.

Patient Approval Forms Alabama Dental Hygiene Licensure Exam Step 13: The remainder of the form contains a patient health history form, a radiographic statement and a periodontal history/treatment plan.

INSTRUCTIONS: ALABAMA NOTICE OF COVERAGE (WC Form 8)

Businesses operating in Alabama use WC form 8 to notify the state Department of Labor that they have worker's compensation insurance as required by law. This document can be obtained from the website maintained by the Alabama Department of Labor.

Alabama Notice Of Coverage WC 8 Step 1: Enter your state unemployment compensation tax number on the first blank line.

Alabama Notice Of Coverage WC 8 Step 2: Enter your federal ID number on the second blank line.

Alabama Notice Of Coverage WC 8 Step 3: Enter the name of your corporation or limited liability corporation (LLC) on the third blank line.

Alabama Notice Of Coverage WC 8 Step 4: Enter your "doing business as" (dba) business name on the fourth blank line.

Alabama Notice Of Coverage WC 8 Step 5: Enter the address of your primary location on the fifth blank line.

Alabama Notice Of Coverage WC 8 Step 6: Enter any additional locations covered by the worker's compensation insurance being documented on the sixth blank line.

Alabama Notice Of Coverage WC 8 Step 7: Enter the nature of your business on the seventh blank line.

Alabama Notice Of Coverage WC 8 Step 8: Enter your NAICS code number on the eighth blank line.

Alabama Notice Of Coverage WC 8 Step 9: Enter the effective date of the worker's compensation insurance policy on the ninth blank line.

Alabama Notice Of Coverage WC 8 Step 10: Enter the expiration date of the worker's compensation insurance policy on the tenth blank line.

Alabama Notice Of Coverage WC 8 Step 11: Enter the policy number of the worker's compensation insurance on the eleventh blank line.

Alabama Notice Of Coverage WC 8 Step 12: Enter the insurance carrier of the worker's compensation on the twelfth blank line.

Alabama Notice Of Coverage WC 8 Step 13: Enter the NCCI code of the insurance carrier on the thirteenth blank line.

Alabama Notice Of Coverage WC 8 Step 14: Mail the form to the address given at the top of the page.

Alabama Notice Of Coverage WC 8 Step 15: If you decide to cancel your worker's compensation insurance at a later time, this must also be documented with the Alabama Department of Labor. This is done by filing a form WC 9, which can also be obtained from their website.