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Form H31 Bill of Sale

Form H31 Bill of Sale

 

INSTRUCTIONS: CONNECTICUT BILL OF SALE (Form H-31)

 

 

When a Connecticut motor vehicle or vessel is sold by one private party to another, the sale is documented using a form H-31. The form is completed by the seller, then presented to the purchaser, who will file it with the Connecticut Department of Motor Vehicles. This document can be obtained from the website of the government of the state of Connecticut.

 

Connecticut Bill Of Sale H-31 Step 1: Indicate with a check mark if you are documenting the sale of a motor vehicle, vessel or other. If the latter, specify.

 

Connecticut Bill Of Sale H-31 Step 2: In the first blank box, enter the name of the seller.

 

Connecticut Bill Of Sale H-31 Step 3: In the second blank box, enter the street address, city or town, state and zip code of the seller.

 

Connecticut Bill Of Sale H-31 Step 4: In the third blank box, enter the selling price.

 

Connecticut Bill Of Sale H-31 Step 5: In the fourth blank box, enter the name of the purchaser.

 

Connecticut Bill Of Sale H-31 Step 6: In the fifth blank box, enter the street address, city or town, state and zip code of the purchaser.

 

Connecticut Bill Of Sale H-31 Step 7: The next section only applies to sales of motor vehicles. Enter the make in the first blank box.

 

Connecticut Bill Of Sale H-31 Step 8: Enter the year in the second blank box.

 

Connecticut Bill Of Sale H-31 Step 9: Enter the vehicle color in the third blank box.

 

Connecticut Bill Of Sale H-31 Step 10: Enter the model name or number in the fourth blank box.

 

Connecticut Bill Of Sale H-31 Step 11: Enter the body style in the fifth blank box.

 

Connecticut Bill Of Sale H-31 Step 12: Enter the odometer reading in the sixth blank box.

 

Connecticut Bill Of Sale H-31 Step 13: Enter the vehicle identification number in the seventh blank box.

 

Connecticut Bill Of Sale H-31 Step 14: The next section only applies to sales of vessels. Enter the year it was built in the first blank box and the hull identification number in the second blank box.

 

Connecticut Bill Of Sale H-31 Step 15: Enter the make, color, model, length, state where last numbered and previous number in the remainder of the section. Sign and date the form.

 

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Form K-200 Etching of Vehicle Identification Number and Component Parts Marking

Form K-200 Etching of Vehicle Identification Number and Component Parts Marking

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Form K-196 Manufacturer Termination of Franchise Notification

Form K-196 Manufacturer Termination of Franchise Notification

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Form J-23T Title Records Request

Form J-23T Title Records Request

 

INSTRUCTIONS: CONNECTICUT TITLE RECORDS REQUEST (Form J-23T)

 

 

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

 

Connecticut Title Records Request J-23T Step 1: Check the first box if requesting a title record.

 

Connecticut Title Records Request J-23T Step 2: Check the second box if requesting a copy of an application for a current title.

 

Connecticut Title Records Request J-23T Step 3: Check the third box if requesting a canceled title copy.

 

Connecticut Title Records Request J-23T Step 4: Check the fourth box if requesting a certificate of search.

 

Connecticut Title Records Request J-23T Step 5: Check the fifth box if requesting a title history as of a specific date and enter the date.

 

Connecticut Title Records Request J-23T Step 6: Check the sixth box if requesting a copy of a bill of sale.

 

Connecticut Title Records Request J-23T Step 7: Check the seventh box if making a miscellaneous request.

 

Connecticut Title Records Request J-23T Step 8: Unless making a miscellaneous request only, you must complete sections 1 and 2. Enter the last name, first name and middle initial of the owner in the first blank box of section 1.

 

Connecticut Title Records Request J-23T Step 9: Enter the street address, city or town, state and zip code of the owner in the second blank box.

 

Connecticut Title Records Request J-23T Step 10: Enter the vehicle identification number in the first blank box of section 2.

 

Connecticut Title Records Request J-23T Step 11: Enter the vehicle make in the second blank box.

 

Connecticut Title Records Request J-23T Step 12: Enter the vehicle year in the third blank box.

 

Connecticut Title Records Request J-23T Step 13: Enter the registration plate number in the fourth blank box.

 

Connecticut Title Records Request J-23T Step 14: Enter the date as of which the vehicle had this plate number in the fifth blank box.

 

Connecticut Title Records Request J-23T Step 15: Section 3 is only to be completed if filing a miscellaneous request. Specify your request in this section.

 

Connecticut Title Records Request J-23T Step 16: Calculate the fee owed for the copies requested where indicated. 

 

Connecticut Title Records Request J-23T Step 17: Provide your name and address at the bottom of the page.

 

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Form R-360 School Bus/STV Driver Training Certificate

Form R-360 School Bus/STV Driver Training Certificate

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Form K-2 Application For Auto Club License

Form K-2 Application For Auto Club License

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Form P-142P-S Psychiatric/Substance Abuse Medical Report

Form P-142P-S Psychiatric/Substance Abuse Medical Report

 

INSTRUCTIONS: CONNECTICUT PSYCHIATRIC/SUBSTANCE ABUSE MEDICAL REPORT (Form P-142P/S)

 

 

When the Connecticut Department of Motor Vehicles receives a report that a driver may be unable to safely operate a vehicle due to abuse of medication, they will be required to receive an evaluation from a physician. The results of this evaluation will be documented and submitted on a form P-142P/S, which can be found on the website of the government of the state of Connecticut.

 

Connecticut Psychiatric/Substance Abuse Medical Report P-142P/S Step 1: Enter the date of the incident being addressed where indicated.

 

Connecticut Psychiatric/Substance Abuse Medical Report P-142P/S Step 2: The patient should enter their signature and the date in the first two blank boxes, then turn the form over to the medical professional conducting the evaluation, who will complete the rest of the form.

 

Connecticut Psychiatric/Substance Abuse Medical Report P-142P/S Step 3: Enter the patient's name in the first blank box, their date of birth in the second blank box, and their telephone number in the third blank box.

 

Connecticut Psychiatric/Substance Abuse Medical Report P-142P/S Step 4: Enter the patient's address in the fourth blank box.

 

Connecticut Psychiatric/Substance Abuse Medical Report P-142P/S Step 5: Enter the date of the last patient examination in the fifth blank box.

 

Connecticut Psychiatric/Substance Abuse Medical Report P-142P/S Step 6: In the next section, indicate the type of medication the patient is taking by placing a check mark next to the applicable medications.

 

Connecticut Psychiatric/Substance Abuse Medical Report P-142P/S Step 7: In the next section, document up to three medications being taken that are relevant to motor vehicle operation. Enter the name of the medication in the column on the left and the dose taken in the column on the right.

 

Connecticut Psychiatric/Substance Abuse Medical Report P-142P/S Step 8: Indicate with a check mark whether the patient currently suffers from convulsive seizures. If yes, give the date of their last seizure.

 

Connecticut Psychiatric/Substance Abuse Medical Report P-142P/S Step 9: Indicate with a check mark whether you believe the patient understands the risk posed by their condition that can affect their operation of a motor vehicle.

 

Connecticut Psychiatric/Substance Abuse Medical Report P-142P/S Step 10: Complete the rest of the form as instructed.

 

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Infertility Treatment & Procedures Disclosure Form

Infertility Treatment & Procedures Disclosure Form

 

INSTRUCTIONS: CONNECTICUT INFERTILITY TREATMENT AND PROCEDURES DISCLOSURE FORM

 

 

Connecticut individuals seeking health insurance coverage for infertility treatment and procedures are required to file a form disclosing any previous such treaments for which they received coverage under a different insurance policy. This form can be found on the website maintained by the government of Connecticut.

 

Connecticut Infertility Treatment And Procedures Disclosure Form Step 1: Enter the name of the individual seeking treatment on the first blank line, their date of birth on the second blank line, and their Social Security number on the third blank line.

 

Connecticut Infertility Treatment And Procedures Disclosure Form Step 2: Indicate whether you are covered as insured or as a dependent with a check mark.

 

Connecticut Infertility Treatment And Procedures Disclosure Form Step 3: Enter the name of the insured on the fourth blank line.

 

Connecticut Infertility Treatment And Procedures Disclosure Form Step 4: Enter the current insurance carrier on the fifth blank line and your policy or ID number on the sixth blank line.

 

Connecticut Infertility Treatment And Procedures Disclosure Form Step 5: Indicate whether this is an individual or group plan with a check mark.

 

Connecticut Infertility Treatment And Procedures Disclosure Form Step 6: If applicable, etner the group name on the seventh blank line.

 

Connecticut Infertility Treatment And Procedures Disclosure Form Step 7: Enter the date on which you began to be insured by the policy.

 

Connecticut Infertility Treatment And Procedures Disclosure Form Step 8: If you have a secondary carrier, enter all information requested about them at the bottom of the first page.

 

Connecticut Infertility Treatment And Procedures Disclosure Form Step 9: The first section of the second page concerns your previous carrier. Enter their name on the first blank line and the policy or identification number on the second blank line.

 

Connecticut Infertility Treatment And Procedures Disclosure Form Step 10: Provide the name of the insured, the group number (if applicable) and the beginning and ending dates of coverage. Indicate with a check mark whether the insured was covered as insured or as a dependent, whether this was an individual or group plan, and if this was a fully insured or self insured plan.

 

Connecticut Infertility Treatment And Procedures Disclosure Form Step 11: Document previous treatment as instructed on the third page, then sign and date the bottom of the second page as instructed.

 

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Supplemental Certificate to Application for Registration as a Physician Assistant

Supplemental Certificate to Application for Registration as a Physician Assistant

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Experience Verification Form For Alabama

Experience Verification Form For Alabama

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