All DMV Forms - By Number

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All DMV Forms (By Form Number)

Most forms are available at all DMV offices. Forms are also available below to request or to download. If the form you need is either not listed or unable to be downloaded from the site, please e-mail us and we will mail you the form. If you want to access a form that can be downloaded, you must use the software called Adobe Acrobat Reader to view and print them. To get a free copy of the software, click "Get Acrobat".

**NEW** - Application for Registration and Title (Form-H-13B) (Download the form, fill out online, and print to bring with you.)

Forms to Request

(Note: These forms are not available for download because they are three-part forms and the carbon copies are needed for our records.)

Form Number	Form Name
B230	Connecticut Identification Card Requirements and Application
B269	Vehicle Inspection Report
B320	Request for Year of Manufacture Plate Form
E220	Application & Special Permit for Exemption From Tinted Window Requirements
Q1	Supplemental Assignment of Ownership and/or Bill of Sale
R229A	Application for Commercial Driver's License

Forms to Download

All form are in PDF format. Adobe Acrobat Reader can be used to view and print them. To get a free copy of the software, go to "Get Acrobat".
(fill out forms online and print)

Form Number	Form Name
	Courtesy Registration Title Request Form
1B	License - Application for Duplicate (in-office use only)
2D	License - Certificate of Parental Consent
A83	Special Power of Attorney
A25	Request for Hearing to Contest Vehicle Towing
A88	Report of 48-Hour License Suspension of 16 or 17-Year-Old Connecticut Operator
A89	Transcription Request
AE-81	Out-of-State Vehicle Identification Number (VIN) Verification Form
AU-463	Motor Vehicle and Vessel Gift Declaration
B6	Application for Amateur Radio Call Letter License Plates
B58	Change of Address - For Individuals \| For Organizations
B88	Application for Waiver of Operator License Fee Because of Active Service in U.S. Armed Forces
B91	Distinguishing Number Application for Municipal Plates
B96	Correction of Information For Vessels
B122	Marine Dealers Application
B123	Marine Dealers - Vessel Registration
B148	Vessel Registration Application
B200	Certificate of Exemption from Connecticut Insurance Card Law
B203	Vessel Ownership Affidavit
B214	Hearing Impairment Certificate
B215	Special Mobile Equipment Affidavit
B220	Documents Required for Vessel Registration
B225P	Dis abled Parking Placard - Permanent
B225T	Disabled Parking Placard - Temporary
B229	Commercial Fishing Affidavit
B256	Salvage Inspection Information
B276	Application for Waiver of Registration Fee for Someone in the Military
B301	Registration Affidavit
B303	Air Bag Certification Statement
B319	Bond for Driver Training School
B320	Application to Display Original Year of Manufacture Marker Plate(s)
B341	Request for a duplicate motor vehicle registration
B350	Application for Duplicate Driver License or Non-Driver ID Card by Mail (out-of-state/country mailing)
B350A	Request for Duplicate of CT Driver's License/ID/Permit by Mail (mailing within CT)
B360	Request for Administrative Review
B372	Gender Designation Change Form
CERT-106	Claim for Refund of Motor Vehicle
CI-1	Request to Renew or Obtain Duplicate Driver's License or ID Card By Mail Due to Medical Condition
CI-3	Application for Under 21 Statement Removal
D47	Registration Issuance Bond
E22	No Fee Affidavit for Registration
E45	Replacement Application for Identical Plate Form
E78	License Change of Name Request
E110	Farm Registration Certification
E140	Automobile Club Association Bond
E159	Lost or Stolen Marker Plates (E-159 form) Leased Vehicles: If you are cancelling the registration for a leased vehicle or if you need to provide proof of registration cancellation for tax purposes please visit our online services to check the registration status of your vehicle. If the plate shows a cancelled status, then your leasing company has already cancelled the registration and you do not need to return this form. You are welcome to print the registration status of your plate and a town Assessor may accept this as proof of your registration cancellation. Please note that other documents may be required to remove your tax liability.
E211	Transporters Registration Application
E215	Form for Flashing Light/Siren Permits
E215B	Blue Light Permit
E215EV	Application for Flashing Light Permit - Emergency Vehicles
E215G	Green Light Permit
E215ME	Application for Yellow/Amber Light Permit - Maintenance/Escort
E219	Registration Replacement Affidavit for Vessel
E224	Application for Withholding Resident Address
E229	Application and License for Motor Vehicle Leasing Companies
F82	Application for One-Year Refund on a Two-Year Registration
H6B	Application for Duplicate Certificate of Title
H13B	Application for Registration and Title (Download the form, fill out online, and print to bring with you.)
H30	Affidavit of Repossession of a Vehicle
H31	Bill of Sale (Not to be used as an assignment of ownership for a Titled vehicle.
H71	Statement of Withdrawal for a Connecticut Motor Vehicle Title
H100	Notice of Intent to Sell
H100A	Artificer's Lien Form
H108	Stolen Vehicle Report (Police Departments Only)
H109	Municipality Report of an Abandoned Vehicle
H110	Abandoned Motor Vehicle Sale Notification
H113	Surety Bond - Certificate of Title
H114	Notice of Motor Vehicle Tow
H115	Motor Vehicle Ownership Affidavit
H116	Vehicle Statement of Value (Completed by Dealers and Repairers)
H119	Attestation of Transfer Notification to Joint Owner
H120	Officer's Affidavit of Transfer Motor Vehicle Seized Pursuant to Alias Tax Warrant
H123	Self-Service Storage Facility Filing of Business Information
H124	Self-Service Storage Facility Notice of Intent to Transfer
H125	Affidavit of Motor Vehicle Transfer by Self-Service Storage Facility
H126	Campground Filing of Business Information
H127	Campground Notice of Intent to Transfer
H128	Affidavit of Recreational Vehicle Transfer by Campground
IRP5	Application for Replacement Credentials
IRP26	Individual Mileage Record for Commercial Vehicles
IRP29	Individual Vehicle Mileage Record
J23	Copy Records Request
J23B	Vessel Copy Records Request
J23T	Title Copy Records Request
J23V	Vessel Copy Records Request
K2	Application to obtain an Auto Club License
K6	Request for Additional Marker Plates
K7	Application for Automobile Dealer's or Repairer's License
K8	Dealers and Repairers License Inspection Application
K9	Motor Vehicle Manufacturers Annual License Renewal Application
K9A	Requirements for Certification of Conformity with State and Federal Statutes
K9B	Certification of Conformity with State and Federal Statutes
K11	Rates Chart for Wrecker, Towing, Road Services
K13	Lost or Stolen Dealer or Repairer Plates
K26	Listing of Personnel in a Dealers and Repairers Business
K35	Complaint Pertaining to Motor Vehicles Sales or Service
K36	Procedures to Obtain a Connecticut Motor Vehicle Dealer's or Repairer's License
K69	How to Apply for a Motor Vehicles Manufacturers License
K70	Procedures for Obtaining a Connecticut Motor Vehicle Junk Yard License
K88	Motor Vehicles Storage Rates Posting for Dealers and Repairers
K89	Application to Store Motor Vehicles, the Storage Rates and Requirements
K91	Application for Junk Yard License
K93	Drawings and Certificates Information for Obtaining a Dealers or Repairers License
K158	Surety Bond
K159	Inspection Ticker Log Sheet for Dealers
K164	Marine Dealer Trailer Registration Application
K172	Criteria for Inspections of Dealers and Repairers
K174	Received Junk Vehicles Report
K179	Dealer Authorization to Sign for Registration of a Motor Vehicle
K186	Salvage Vehicle Repair Report
K196	Manufacturer Termination of Franchise Notification
K197	Replacement Parts Statement
K198	Certificate of Business Status and Agent for Service
K200	Etching of Vehicle Identification Number and Component Parts Marking
K208	CT Licensed Dealer Vehicle Inspection Form
L4	Taxpayer's Application for Change of Motor Vehicle Assessment
L5	Municipalities - Assessment Correction Notice
LS5	Request for Permission to Conduct Special Activities on DMV Premises
M22	Special Order Plate Application (for unique background and vanity plates) Two completed copies of this form must be submitted to the DMV. Rules for Making Letter and Number Combinations on Special Order Plates.
MCS-150CT	Motor Carrier Identification Report
MD-1	Special Operators Permit Application
MSCA-5876	Medical Examiner's Certificate Form - This form must be used if your medical exam is performed on or after April 20, 2016.
P40	Initial Medical Request
P142C	Cardiology Medical Report
P142D	Diabetes Medical Report
P142ER	Hospital ER Physician's Impaired Driver Report
P142M	Medical Form
P142N	Neurology Medical Report
P1420P	Eye Care Professional's Medical Report
P1420R	Orthopedic Medical Report
P142P/S	Psychiatric/Substance Abuse Medical Report
P142R	Respiratory Diseases
P147	License Surrender
P163	Attorney Appearance sheet
P244	Affidavit to Report a Driver Who May Be Unable to Safely Operate a Motor Vehicle
P246	Ignition Interlock Device - Installation Application
Q12	Affidavit for Not Surrendering an Operator's License from a Foreign State
Q20	Use Tax Exemption on Motor Vehicles or Vessels Sold to or by Businesses
R7	Application for Connecticut Public Service License
R7A	Driver's Education - Application for Instructor's License
R17	Road Signs
R94	Driver's Education - Application for Driving School License
R95	Application for Inspection of a Composite Motor Vehicle
R100	Driving Schools - Application for Amended Rate Schedule
R157	Inspection Requirements for Composite Motor Vehicles
R229	Application for Non-Commercial Driver License
R230	Certification for Driver Training Instructor - 45-hour Behind the Wheel Course
R234	Track Racing - Complaint Form
R280	Driving School Instructor - Training Schedule
R289	Vehicle Leasing Companies - Site Listing and Compliance Certificate
R290	Commercial Motor Vehicle Registration Information Request
R314	State Medical Waiver Application
R318	Application for Driver Education Program
R319	Driver Education Supplies Request
R349	Diesel Emissions Inspection Report
R359	Application for School Bus Driver Instructor
R360	School Bus/STV Driver Training Certificate
R361	Licensed Dealer/Repairer Inspector's Report for a Public Service Vehicle
R379	Affidavit of Possession
R380	STV/School Bus/Public Service Vehicle Brake Inspection Report
R390	Annual Report of Appointment of School Bus Safety Coordinator
R391	Application for Recertification of School Bus Driver Training Instructor
R394	Application for New Master Instructor
SR37	Insurance Compliance Consent Agreement
SR101	Disposition of Vehicle
UCR-1 UCR-1 UCR-1	Unified Carrier Registration (2016) Unified Carrier Registration (2015) Unified Carrier Registration (2014)
W-298	Authorization for Disclosure of Information (Department of Social Services Form) - may be required for Emissions Economic Hardship Time Extension Application
Y10	School Bus Transportation - Pupil Transportation Vehicle Report
Y11A	Instructions for Completing Pupil Transportation Vehicle Report
Y14	Commercial Motor Vehicle/School Bus - Passenger Transportation Medical Form for Doctor

State of Connecticut Department of Motor Vehicles