INSTRUCTIONS: CONNECTICUT DEALER OR LEASING COMPANY TRANSMITTAL SHEET TO DMV (Form G-138)

Connecticut motor vehicle dealers and leasing companies use form G-138 to document certain sales and leases. This document can be obtained from the website of the government of Connecticut.

Connecticut Dealer Or Leasing Company Transmittal Sheet To DMV G-138 Step 1: Enter the name of the dealership or leasing company in the first blank box.

Connecticut Dealer Or Leasing Company Transmittal Sheet To DMV G-138 Step 2: Enter the name of a contact person in the second blank box.

Connecticut Dealer Or Leasing Company Transmittal Sheet To DMV G-138 Step 3: Indicate whether the business is a dealer or leasing company with a check mark.

Connecticut Dealer Or Leasing Company Transmittal Sheet To DMV G-138 Step 4: Enter the dealer or leasing license number in the next blank box.

Connecticut Dealer Or Leasing Company Transmittal Sheet To DMV G-138 Step 5: Enter the business telephone number in the next blank box.

Connecticut Dealer Or Leasing Company Transmittal Sheet To DMV G-138 Step 6: Enter the date on which this form is being submitted in the next blank box.

Connecticut Dealer Or Leasing Company Transmittal Sheet To DMV G-138 Step 7: Section A concerns registrants. Enter the date of issue in the first column.

Connecticut Dealer Or Leasing Company Transmittal Sheet To DMV G-138 Step 8: Enter the temporary plate number in the second column.

Connecticut Dealer Or Leasing Company Transmittal Sheet To DMV G-138 Step 9: Enter the registration number in the third column.

Connecticut Dealer Or Leasing Company Transmittal Sheet To DMV G-138 Step 10: Enter the name of the primary owner in the fourth column.

Connecticut Dealer Or Leasing Company Transmittal Sheet To DMV G-138 Step 11: Enter the primary owner's date of birth in the fifth column.

Connecticut Dealer Or Leasing Company Transmittal Sheet To DMV G-138 Step 12: Enter the name of the secondary owner in the sixth column.

Connecticut Dealer Or Leasing Company Transmittal Sheet To DMV G-138 Step 13: Enter the secondary owner's date of birth in the seventh column and the fees collected in the eighth column.

Connecticut Dealer Or Leasing Company Transmittal Sheet To DMV G-138 Step 14: Complete the dealer checklist in Section B. All documentation listed must be submitted.

INSTRUCTIONS: CONNECTICUT CERTIFICATE OF PARENTAL CONSENT (Form 2D)

Connecticut parents give consent for their children to get a motor vehicle or motorcycle learner's permit or driver's license by filing a form 2D. This document can be obtained from the website of the government of Connecticut.

Connecticut Certificate Of Parental Consent 2D Step 1: Enter the name of the 16 or 17 years old applicant in the first blank box.

Connecticut Certificate Of Parental Consent 2D Step 2: Enter the date of birth of the applicant in the second blank box.

Connecticut Certificate Of Parental Consent 2D Step 3: Enter the name of the applicant's parent, guardian or spouse over 18 in the third blank box.

Connecticut Certificate Of Parental Consent 2D Step 4: Enter the consenter's date of birth in the fourth blank box.

Connecticut Certificate Of Parental Consent 2D Step 5: Indicate whether the consenter is the applicant's parent, foster parent, legal guardian, spouse over 18 years old or other relative with a check mark. If another relative, write your title. If you are not a parent, you must attach proper documentation of your authority with this application.

Connecticut Certificate Of Parental Consent 2D Step 6: Indicate with a check mark whether the applicant is applying for a learner permit or driver's license, a motorcycle learner permit or motorcycle endorsement or a motor vehicle registration.

Connecticut Certificate Of Parental Consent 2D Step 7: Enter the vehicle identification number, if applicable, in the fifth blank box.

Connecticut Certificate Of Parental Consent 2D Step 8: Enter the gross vehicle weight, if applicable, in the sixth blank box.

Connecticut Certificate Of Parental Consent 2D Step 9: Enter the registration plate number in the seventh blank box.

Connecticut Certificate Of Parental Consent 2D Step 10: Enter the vehicle year in the eighth blank box.

Connecticut Certificate Of Parental Consent 2D Step 11: Enter the vehicle make in the ninth blank box.

Connecticut Certificate Of Parental Consent 2D Step 12: Enter the light vehicle weight, if applicable, in the tenth blank box.

Connecticut Certificate Of Parental Consent 2D Step 13: Enter the signature of the parent, guardian or spouse over 18 in the eleventh blank box.

Connecticut Certificate Of Parental Consent 2D Step 14: Enter the driver license or documentation shown in the twelfth blank box and the date in the thirteenth blank box, then have the form notarized.

INSTRUCTIONS: CONNECTICUT SPECIAL PERMIT APPLICATION AND IMPAIRMENT CERTIFICATE (Form B-225)

To apply for a special parking permit related to a disability which impairs the ability to walk in Connecticut, a form B-225 should be used. This document can be obtained from the website of the government of Connecticut.

Connecticut Special Permit Application And Impairment Certificate B-225 Step 1: Section A should be completed by the applicant. Indicate with a check mark whether this is a new application, a replacement application or a renewal application.

Connecticut Special Permit Application And Impairment Certificate B-225 Step 2: Indicate with a check mark whether the applicant is disabled, blind, or an organization which transports blind or disabled people.

Connecticut Special Permit Application And Impairment Certificate B-225 Step 3: In the first blank box, enter the last name, first name and middle initial of the person who is blind or disabled,

Connecticut Special Permit Application And Impairment Certificate B-225 Step 4: In the second blank box, enter the applicant's date of birth.

Connecticut Special Permit Application And Impairment Certificate B-225 Step 5: In the third blank box, enter the applicant's driver's license or identification card number.

Connecticut Special Permit Application And Impairment Certificate B-225 Step 6: In the fourth blank box, enter the applicant's daytime telephone number.

Connecticut Special Permit Application And Impairment Certificate B-225 Step 7: In the fifth blank box, enter the applicant's street address, city, state and zip code.

Connecticut Special Permit Application And Impairment Certificate B-225 Step 8: In the sixth blank box, enter the applicant's mailing street address, city, state and zip code.

Connecticut Special Permit Application And Impairment Certificate B-225 Step 9: In the seventh blank box, the applicant should enter their signature.

Connecticut Special Permit Application And Impairment Certificate B-225 Step 10: In the eighth blank box, enter the date.

Connecticut Special Permit Application And Impairment Certificate B-225 Step 11: The form should then be submitted to your physician, APRN, physician's assistant, optometrist, ophthamologist, BESB or USVA for completion of Section B, which is a certification of the disability being claimed. They should provide all identifying information requested and indicate whether your condition is permanent or temporary.

Connecticut Special Permit Application And Impairment Certificate B-225 Step 12: Submit the completed form to the Connecticut Department of Vehicles via mail, fax, email or in person.

INSTRUCTIONS: CONNECTICUT EMPLOYMENT APPLICATION (Form JD-ES-11)

To apply for employment with the Connecticut Judicial Branch, file a form JD-ES-11. This document can be obtained from the website of the Connecticut Judicial Branch.

Connecticut Employment Application JD-ES-11 Step 1: At the top of the form, enter the positions you are applying for and the date on which you are completing this application.

Connecticut Employment Application JD-ES-11 Step 2: Enter your name, home phone number, business phone number and address.

Connecticut Employment Application JD-ES-11 Step 3: The next section concerns your education. Enter the name of your high school and its city state. If you graduated, place an "x" in the box where indicated.

Connecticut Employment Application JD-ES-11 Step 4: Provide all information about schools you have attended since high school in the table provided.

Connecticut Employment Application JD-ES-11 Step 5: The next section concerns your experience. In this section, you should only list employment which qualifies you for the position you are applying for, beginning with your present or most recent employment and proceeding backwards. You may document up to three jobs on this page. Use additional sheets if you require further space for documentation. Enter the name and address of each employer, their telephone number, your job title, the name of your immediate supervisor, your salary or wage, hours worked per week, beginning and ending dates of employment, total time worked at this job and duties.

Connecticut Employment Application JD-ES-11 Step 6: In the table provided at the top of the second page, document all other experience. All time since high school must be accounted for.

Connecticut Employment Application JD-ES-11 Step 7: In the next section, list all relevant knowledge, skills and abilities you acquired from your general work experience, including the beginning and ending dates of employment, your employer's name and address, your job title and your salary.

Connecticut Employment Application JD-ES-11 Step 8: Answer the three questions in "Additional Information" as instructed.

Connecticut Employment Application JD-ES-11 Step 9: In the table provided, list all licenses and certificates you hold which are valid and in good standing.

Connecticut Employment Application JD-ES-11 Step 10: Sign and date the bottom of the second page.

Connecticut Employment Application JD-ES-11 Step 11: You must complete the employment application criminal history record which begins on the third page, which is labeled form JD-ES-11A.

INSTRUCTIONS: CONNECTICUT REQUEST FOR MARKER PLATES (Form K-6)

To request the marker plates required for registered motor vehicles in Connecticut as a dealer, use form K-6. This document can be obtained from the website of the government of Connecticut.

Connecticut Request For Marker Plates K-6 Step 1: Enter your business name in the first blank box.

Connecticut Request For Marker Plates K-6 Step 2: Enter your license number in the second blank box.

Connecticut Request For Marker Plates K-6 Step 3: Enter your business address in the third blank box.

Connecticut Request For Marker Plates K-6 Step 4: Enter the number of full time employees in the fourth blank box.

Connecticut Request For Marker Plates K-6 Step 5: Enter the number of wreckers in the fifth blank box.

Connecticut Request For Marker Plates K-6 Step 6: Enter the number of delivery trucks in the sixth blank box.

Connecticut Request For Marker Plates K-6 Step 7: Enter the number of repair customers requiring loaner vehicles in the seventh blank box.

Connecticut Request For Marker Plates K-6 Step 8: Indicate with a check mark whether you are requesting initial sets of plates or additional sets of plates.

Connecticut Request For Marker Plates K-6 Step 9: Enter the number of plates you are requesting.

Connecticut Request For Marker Plates K-6 Step 10: The table provided below requires you to document the vehicles in question. Enter the vehicle year in the first column, the make in the second column, the owner or employee's name in the third column, their address in the fourth column, their occupation in the fifth column, whether they are a full or part-time employee in the sixth column, whether they are on your payroll in the seventh column, whether the title is in possession of and assigned to the dealership in the eighth column, and the reason for the loan in the ninth column.

Connecticut Request For Marker Plates K-6 Step 11: If you are a new or used car dealer, enter the number of vehicles sold in the past year or the number of vehicles to be sold in the coming year in the next blank box and the number of vehicles purchased from other dealers, auctions or buyers on any given day in the next blank box.

Connecticut Request For Marker Plates K-6 Step 12: Sign and date the form, as well as providing your title.

INSTRUCTIONS: ALABAMA HEALTH INSURANCE ENROLLMENT FORM (Form IB02)

Alabama state employees can enroll in state-administered health insurance using form IB02. This document can be obtained from the website maintained by the Alabama State Employees' Insurance Board.

Alabama Health Insurance Enrollment Form IB02 Step 1: Check the first box if applying for SEHIP basic medical coverage administered through Blue Cross.

Alabama Health Insurance Enrollment Form IB02 Step 2: Check the second box if applying supplemental coverage for secondary medical care administered through Blue Cross.

Alabama Health Insurance Enrollment Form IB02 Step 3: Check the third box if applying for optional policies covering vision, dental, cancer or hospital indemnity administered through Southland National.

Alabama Health Insurance Enrollment Form IB02 Step 4: Check the fourth box if you are declining coverage.

Alabama Health Insurance Enrollment Form IB02 Step 5: Enter your name in the first blank box.

Alabama Health Insurance Enrollment Form IB02 Step 6: Enter your sex in the second blank box.

Alabama Health Insurance Enrollment Form IB02 Step 7: Enter your Social Security number in the third blank box.

Alabama Health Insurance Enrollment Form IB02 Step 8: Enter your date of birth in the fourth blank box.

Alabama Health Insurance Enrollment Form IB02 Step 9: Enter your street address in the fifth blank box.

Alabama Health Insurance Enrollment Form IB02 Step 10: Enter your city in the sixth blank box.

Alabama Health Insurance Enrollment Form IB02 Step 11: Enter your state in the seventh blank box.

Alabama Health Insurance Enrollment Form IB02 Step 12: Enter your zip code in the eighth blank box.

Alabama Health Insurance Enrollment Form IB02 Step 13: Enter your home telephone number in the ninth blank box.

Alabama Health Insurance Enrollment Form IB02 Step 14: Enter your work phone number in the tenth blank box.

Alabama Health Insurance Enrollment Form IB02 Step 15: Enter your email address in the eleventh blank box.

Alabama Health Insurance Enrollment Form IB02 Step 16: Document your dependents as instructed in the table provided.

Alabama Health Insurance Enrollment Form IB02 Step 17: If applying for supplemental coverage or Southland, complete the next section concerning additional group health insurance coverage information.

Alabama Health Insurance Enrollment Form IB02 Step 18: Have your employer complete the bottom left hand corner.

Alabama Health Insurance Enrollment Form IB02 Step 19: Sign and date the form where indicated.