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B. R. EGAN INSURANCE

 

Listed below are many useful forms, if a needed form is not listed please email us at brian@beganinsurance.com. For a more extensive list of DMV forms please go to http://www.ct.gov/dmv/cwp/view.asp?a=818&q=327640 for additional forms needed for the DOT or pertaining to the Federal MC please go to http://www.fmcsa.dot.gov/mission/forms 

DMV Forms

Application for Registration and Certificate of Title - H13
(Download the form, fill out online, and print to bring with you.)
Bill of Sale - H31
(Not to be used as an assignment of ownership for a Titled vehicle.)
Special Power of Attorney - A83

Motor Vehicle and Vessel Gift Declaration - AU-463

Federal MC Forms

DOT Forms

Annual Automobile Safety Inspection Report
(Report of condition for Northland insured vehicles)
Verification Inquiry Worksheet
(applicants seeking to register as motor carriers must present evidence to FMCSA that the applicantis fit, and willing and able to comply with applicable Federal statutes and regulations, includingrequirements relating to safety, financial responsibility and, as to motor carriers of passengers,accessibility for disabled passengers.)

"Z" Plate Application for DOT Permit
(Application for registration of a federal highway administration motor passenger carrier authority)
Criminal History Record Request Form
(from the Department of Emergency Services and Public Protection)
Reinstatement of Authority
(Authorization to charge reinstatement fee to credit card.)