From: Subject: Request for Copies of DMV records Date: Mon, 19 Jan 2009 16:00:56 -0500 MIME-Version: 1.0 Content-Type: text/html; charset="Windows-1252" Content-Transfer-Encoding: quoted-printable Content-Location: http://www.dmvct.state.ct.us/J23FORM.HTM X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.5579 Request for Copies of DMV records

Request for Copies of Your DMV=20 Records

Please fill out the information below = to have the=20 form mailed to you. Click on the "Submit Request" button when you are = finished.=20 The form will be mailed to you with the necessary instructions for = completing=20 it. All fields labeled in red and preceded by an = asterisk=20 (*) need to be entered into for the request to be = submitted.

=20
*=20 Name:   =20 (First & Last = Names)
* Address:   
Address:    (Optional)
*=20 City:   
* State:   
* Zip Code:   
* Quantity of forms:    (Maximum = number of=20 forms is 20)

You may call (860)263-5700 (in the = Hartford area or=20 outside of Connecticut) or (800) 842-8222 (Toll-free within Connecticut = only)=20 and request the form.

Home | CT.gov Home | Submit Site Suggestions=20

State = of Connecticut=20 D= isclaimer=20 and P= rivacy=20 Policy  Copyright =A9 2002 State of Connecticut
Universal = Website = Accessibility=20 Policy applies

j23form (Rev. = 05-11-99)