Agency Forms

Agency Forms
Form Number Title (click to download) Date
CTMD Form 1 Oath of Office - Officers 2/2017
CTMD Form 2 Oath of Office - Enlisted 2/2017
CTMD Form 1-3 Application for Membership in the Governor’s Guards 8/2019
CTMD Form 1-4 Police Record Check 11/2013
CTMD Form 1-5 Yearly Training & Operations Calendar 12/2014
CTMD Form 1-6 Serious Incident Report 7/2015 (Rev 9/2025)
CTMD Form 1-6a Serious Incident Report Witness Statement 7/2015
CTMD Form 1-7 Monthly Training Schedule 3/2014
CTMD Form 1-8 Risk Management Worksheet 4/2013
CTMD Form 1-9 Recommendation for Award 4/2020
CTMD Form 1-10 Sign-In Roster 4/2013
CTMD Form 1-11 After Action Review 4/2013
CTMD Form 1-12 Injury Reporting Procedures 9/2025
CTMD Form 1-13 Gratuitous Service Acknowledgement 8/2019
CTMD Form 1-14 Qualification to Possess Firearms or Ammunition 11/2013
CTMD Form 1-15 Fraternization Policy 8/2019
CTMD Form 1-16 Commandant's Monthly Report 7/2015
CTMD Form 2-1 Wartime Service Bonus Application 5/2013
CTMD Form 4-1 Property Inventory 3/2021
CTMD Form 4-2 Inventory of Property of Special Interest 4/2021
CTMD Form 4-5 Report of Unaccounted Property 3/2016
CTMD Form 4-6 Maintenance Log 3/2021
CTMD Form 4-7 Report of Financial Liability 4/2021
CTMD Form 4-12 Authorization to Transfer State Property 2/2017
CTMD Form 4-14 Receipt of Military Property Agreement 7/2022
CTMD Form 4-13 Report of Donated Property 4/2021
CTMD Form 4-20 Horse Suitability Questionnaire 12/2023
CTMD Form 4-21 Horse Site Evaluation 12/2023
CTMD Form 4-22 Trial Period Acceptance Letter 12/2023
CTMD Form 4-23 UHO Trial - Period Assessment 12/2023
CTMD Form 4-24 SAW Trial - Period Assessment 12/2023
CTMD Form 4-25 Trial - Period Recommendation Letter 12/2023
CTMD Form 4-26 Horse Acceptance Letter 12/2023
CTMD Form 4-27 Horse Non-Acceptance Letter 12/2023
CTMD Form 4-28 Offer to Return Upon Retirement Letter 12/2023
CTMD Form 4-29 Donor's Option Election 12/2023
CTMD Form 4-30 Horse Return Acknowledgement 12/2023
CTMD Form 4-31 Horse Auction Successful Bid Notification 12/2023
CTMD Form 4-32 Horse Auction Unsuccessful Bid Notification 12/2023
CTMD Form 4-33 Horse Auction Instruction 12/2023
CTMD Form 4-34 Horse Custody Acknowledgement 12/2023
CTMD Form 5-2 Request for Orders 5/2015
CTMD Form 5-3 Application for Appointment to the Connecticut State Guard Reserve 7/2009
CTMD Form 6-2 Long Service Medal Application 8/2010
CTMD Form 7-1 Military Relief Fund Application 5/2025
PC-1 Requisition Form 10/2013
CO-16 Receiving Report 11/1989
CO-501 P-Card Log Sheet 7/2003
SF-180 Request Pertaining to Military Records 3/2024
DAS Form 207 First Report of Injury (Workers' Compensation)
DAS Form 207-1 Incident Review Report (Workers' Compensation)
WCC Form 1A Filing Status & Exemption 3/2006
DAS Form PER-WC-211 Concurrent Employment & Third Party Liability 2/2005
DAS Form WC-715 Request for Use of Accrued Leave with Workers’ Compensation 3/2010
DAS Form 208 Worker Status Report 12/2014