MAT-100 Municipality Systems Request for Test Form
For further information and questions, please contact the associated email
and/or phone number listed for the district you are working with located on the
form.
Please obtain a blank Mat-100 pdf from this web page each time you fill one out.  This will insure that you are using the most current revision:
MAT 100  (171 Kb pdf) - last update 08-03-2020 1:56 pm
 
** Please note ** Do not modify the format of the blank Mat-100 pdf in any
                                               way or it will not upload properly.
To download a free copy of Acrobat Reader 9.0, select the icon below:
Acrobat Reader Free Download  PLEASE ENSURE YOU ARE USING THE MOST UP-TO-DATE VERSION OF ACROBAT READER
To see basic instructions (in Microsoft PowerPoint) on how to fill out the form and send it to the district office please select Mat-100 Power Point instructions
For further information, please contact
John Molina
Department of Transportation
2710 Berlin Turnpike
Newington, CT 06111