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Affidavit to Report a Driver Who May Be Unable to Safely Operate a Motor Vehicle

Affidavit to Report a Driver Who May Be Unable to Safely Operate a Motor Vehicle

INSTRUCTIONS: CONNECTICUT AFFIDAVIT TO REPORT A DRIVER WHO MAY BE UNABLE TO SAFELY OPERATE A MOTOR VEHICLE (Form P-244)

 

 

To report an operator who you believe may be unable to safely operate a motor vehicle in Connecticut, file a form P-244. This affidavit can be obtained from the website of the state of Connecticut.

 

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 1: Print your name on the first blank line.

 

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 2: Enter the name of the driver who may be unable to safely operate a motor vehicle on the second blank line.

 

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 3: Enter the date of birth of this driver on the third blank line.

 

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 4: Enter the city, state and zip code of this driver on the fourth blank line.

 

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 5: Where indicated, briefly describe the incident which leads you to believe this driver may be unable to safely operate a motor vehicle.

 

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 6: Indicate with a check mark whether you have a relationship to this driver. If so, describe your relationship.

 

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 7: Indicate with a check mark whether you are aware of any medical condition which may adversely affect the driver's ability to safely operate a motor vehicle. If so, provide an explanation.

 

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 8: Enter your signature and address in the first two blank boxes at the bottom of the page.

 

Connecticut Affidavit To Report A Driver Who May Be Unable To Safely Operate A Motor Vehicle P-244 Step 9: Enter your city, state, zip code, printed name, telephone number and the date, then appear before a notary public for their seal.

 

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