Get Ci-1 Rev. 9-14.ofm - Ct.gov - Ct

This guide provides a clear and supportive approach to filling out the CI-1 Rev. 9-14.ofm form for renewing or obtaining a duplicate driver's license or identification card by mail due to medical conditions. Whether you are the applicant or the licensed physician, this step-by-step guide will help you navigate the process effectively.

Follow the steps to complete the CI-1 Rev. 9-14.ofm form.

1. Click the 'Get Form' button to obtain the CI-1 Rev. 9-14.ofm form and open it in the designated editor.
2. Fill out Part A of the form as the applicant. Enter your date of birth, name, daytime telephone number, driver's license or identification card number (if known), and your current address. Provide your email address and indicate whether we may contact you via email regarding your request.
3. Affirm your inability to appear in person by signing and dating the statement provided in Part A. Make sure you understand the legal implications of false statements.
4. Once Part A is completed, you will need to provide this form to an authorized physician for Part B to be completed. The physician must sign and date Part B certifying your medical condition.
5. The physician must also provide their name, medical license number, licensing state, office address, office telephone number, and email address. They need to confirm whether they can be contacted via email to verify their signature.
6. Ensure that Part B indicates whether your condition is temporary and, if so, provide an estimated date of recovery. The physician must sign and date this section.
7. After both parts are filled out, mail the completed form to the address specified at the top of the document. Ensure all information is accurate to prevent delays.
8. Lastly, upon submission, remember to save any changes you have made, and if necessary, download, print, or share the filled-out form as per your needs.

Complete your documents online effortlessly, ensuring you follow each step for a smooth submission process.