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Get Ct Blue Light 2015-2024

BLUE LIGHT PERMIT STATE OF CONNECTICUT DEPARTMENT OF MOTOR VEHICLES R-115 Rev. 7-2015 FLASHING LIGHTS UNIT On The Web At ct. gov/dmv THIS PERMIT MUST BE CARRIED IN THE VEHICLE AT ALL TIMES A copy of this permit must be kept on file with the fire department This permit authorizes the display of a blue light in the vehicle and by the person specified below. The blue light may only be used while the vehicle is en route to or at the scene of an emergency. The use of the blue light does not permit violating any motor vehicle statutes. NAME OF ACTIVE VOLUNTEER FIRE DEPARTMENT MEMBER OPERATOR VEHICLE INFORMATION DRIVER S LICENSE NUMBER ADDRESS YEAR MAKE MODEL LICENSE PLATE NUMBER FIRE DEPARTMENT ISSUING SIGNATURE OF MEMBER DATE SIGNATURE OF CHIEF This permit is cancelled effective CANCELLATION Date. gov/dmv THIS PERMIT MUST BE CARRIED IN THE VEHICLE AT ALL TIMES A copy of this permit must be kept on file with the fire department This permit authorizes the display of a blue light in the vehicle and by the person specified below. The blue light may only be used while the vehicle is en route to or at the scene of an emergency. The use of the blue light does not permit violating any motor vehicle statutes. The blue light may only be used while the vehicle is en route to or at the scene of an emergency. The use of the blue light does not permit violating any motor vehicle statutes. NAME OF ACTIVE VOLUNTEER FIRE DEPARTMENT MEMBER OPERATOR VEHICLE INFORMATION DRIVER S LICENSE NUMBER ADDRESS YEAR MAKE MODEL LICENSE PLATE NUMBER FIRE DEPARTMENT ISSUING SIGNATURE OF MEMBER DATE SIGNATURE OF CHIEF This permit is cancelled effective CANCELLATION Date. gov/dmv THIS PERMIT MUST BE CARRIED IN THE VEHICLE AT ALL TIMES A copy of this permit must be kept on file with the fire department This permit authorizes the display of a blue light in the vehicle and by the person specified below. The blue light may only be used while the vehicle is en route to or at the scene of an emergency. The use of the blue light does not permit violating any motor vehicle statutes. NAME OF ACTIVE VOLUNTEER FIRE DEPARTMENT MEMBER OPERATOR VEHICLE INFORMATION DRIVER S LICENSE NUMBER ADDRESS YEAR MAKE MODEL LICENSE PLATE NUMBER FIRE DEPARTMENT ISSUING SIGNATURE OF MEMBER DATE SIGNATURE OF CHIEF This permit is cancelled effective CANCELLATION Date.

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