
STATE OF CONNECTICUT DEPARTMENT OF MOTOR VEHICLES 60 STATE STREETWETHERSFIELD, CONNECTICUT 061611013 On The Web At ct.gov/dmvSTATE MEDICAL WAIVER APPLICATION PART 1 APPLICANT INFORMATION APPLICATION.
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How to fill out the CT R-314 online
Filling out the CT R-314 form online can be straightforward when guided properly. This comprehensive guide will assist users in completing the State Medical Waiver Application step by step.
Follow the steps to accurately complete the form online.
- Click 'Get Form' button to access the CT R-314 form and open it for editing.
- In Part 1, enter your applicant information. Fill in your name, address, operator license number, and telephone number. Be sure to select the application type you are submitting, whether it is an initial application or a renewal.
- In Part 2, fill out the motor carrier or co-applicant information. Input the U.S. DOT number, the motor carrier's name, and address. Provide the telephone number and the name of a contact person at the organization.
- For passenger-carrying vehicles, state the seating capacity. Specify the type of brake system and transmission type, including any auxiliary systems. Provide details on the types of trailers you may use, indicating the specific categories like cargo tank, flatbed, and others.
- In Part 4, both the motor carrier's authorized agent and the applicant must certify their qualifications. Print the names and titles, sign where indicated, and include the respective dates.
- Once you have filled out all sections, review your entries for accuracy. Save your changes and download or print the completed form for submission. Ensure you send it to the appropriate address listed: Department of Motor Vehicles, Driver Services Division, 60 State Street, Wethersfield, CT 06161-1013.
Complete your CT R-314 form online today for a seamless application process.
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