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  • Ct Dps-0009-c 2018

Get Ct Dps-0009-c 2018-2026

STATE OF CONNECTICUTFOR LABORATORY USE ONLYDEPARTMENT OF EMERGENCY SERVICES AND PUBLIC PROTECTION DIVISION OF SCIENTIFIC SERVICES 278 COLONY STREET, MERIDEN CT 06451 (203) 6396400 MAIN, (203) 6396484.

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How to fill out the CT DPS-0009-C online

The CT DPS-0009-C is a vital form utilized for the examination of specimens relating to alcohol and drugs. This guide provides users with clear and detailed steps to fill out the form accurately and efficiently in an online environment.

Follow the steps to accurately complete the CT DPS-0009-C form.

  1. Click ‘Get Form’ button to obtain the CT DPS-0009-C form and open it in the editing platform.
  2. Complete the 'Law Enforcement Agency/Department' field by entering the name of the relevant agency.
  3. Fill in the 'Agency Case #' following the specified format for case identification.
  4. Indicate the 'Town of Incident' by providing the appropriate location details.
  5. Select the applicable 'Incident Type' by checking all relevant options, including DUI, MVA, and others.
  6. Enter the 'Name of Subject' in the designated field, followed by sex, and 'DOB' (date of birth).
  7. Provide the 'Address of Subject' including street, city, state, and zip code.
  8. For breath sample data, indicate 'Yes' or 'No' and fill in the respective result details and date/time if applicable.
  9. Complete the 'Specimen #1' and 'Specimen #2' sections with the required collection information, such as collector names and specimen types.
  10. If applicable, obtain the subject's consent for blood sample collection by having them sign and date the designated area.
  11. Fill out the 'Drugs Suspected (If Any)' section to indicate any substances suspected.
  12. Once all fields are completed, save your changes, and choose to download, print, or share the form as needed.

Complete your CT DPS-0009-C document online today for a smoother submission process.

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