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The Connecticut A 62 form is an essential document for individuals seeking a special permit to operate a motor vehicle to and from work while their regular operator's license is suspended. This application is designed to help those who face significant hardships due to their inability to drive. To complete the form, applicants must provide personal information, including their name, date of birth, and operator license number. Additionally, details about the employer, such as the name and address, are required. A critical part of the process is demonstrating the need for the permit, which involves answering questions about commuting distance, public transportation availability, and the hardships faced without the permit. Applicants should be aware that a non-refundable fee of $100 must accompany the application, and multiple employment situations necessitate separate applications. It is also important to note that the operation of vehicles requiring a Commercial Driver’s License (CDL) or those used for public passenger transportation is prohibited under this program. Each application undergoes a review of the individual's driving record, and the permit is granted only if specific conditions are met. Understanding these requirements can help streamline the application process and ensure that individuals can obtain the necessary permissions to continue their work-related travel.
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File Information
| Fact Name | Description |
|---|---|
| Form Title | Connecticut A 62 Form - Application for Special Permit to Operate a Motor Vehicle to and from Work. |
| Governing Law | The form operates under Connecticut General Statutes, specifically related to motor vehicle regulations. |
| Application Fee | A non-refundable application fee of $100 must accompany each request for a permit. |
| Eligibility Criteria | The applicant must not operate vehicles requiring a Commercial Driver's License (CDL) or those used for public passenger transportation. |
| Application Process | Applicants must print or type their information and submit separate applications for multiple employments. |
| Driving Record Review | The DMV will review the applicant's official driving record as part of the application process. |
| Hardship Requirement | Applicants must describe significant hardships they would face without the Special Operator's Permit. |
| Transportation Alternatives | Applicants are required to detail efforts made to obtain alternative transportation options. |
| Penalties for Violation | Operating outside authorized hours or for unauthorized purposes may lead to civil penalties, including fines and possible arrest. |
Connecticut A 62 Sample
STATE OF CONNECTICUT
DEPARTMENT OF MOTOR VEHICLES
DRIVER SERVICES DIVISION
60 STATE STREET, WETHERSFIELD, CT 06161-2530
TELEPHONE: (860) 263-5720 On The Web At ct.gov/dmv
APPLICATION FOR SPECIAL PERMIT TO
OPERATE A MOTOR VEHICLE TO AND FROM WORK
INSTRUCTIONS:
1. Please print or type.
2. Multiple employment requires separate applications.
3. A $100.00
Operation of motor vehicles requiring a CDL or used for Public Passenger Transportation is PROHIBITED under the Special Permit Program
YOUR OFFICIAL DRIVING RECORD WILL BE REVIEWED AS PART OF THIS APPLICATION.
NAME OF APPLICANT (Last, First, Middle)
DATE OF BIRTH
OPERATOR LICENSE NUMBER/STATE
SEX
M
F
MAILING ADDRESS |
(Number and Street) |
(City or Town) |
(State) |
(Zip Code) |
|
|
|
|
|
|
|
RESIDENCE ADDRESS (If different) |
(Number and Street) |
(City or Town) |
(State) |
(Zip Code) |
|
NAME OF EMPLOYER (If
ADDRESS OF EMPLOYER |
(Number and Street) |
(City or Town) |
(State) |
(Zip Code) |
OCCUPATION |
HOME TELEPHONE NUMBER |
( )
DAYS AND HOURS OF EMPLOYMENT (Specify A.M. or P.M.)
TO BE ISSUED A WORK PERMIT, YOUR SCHEDULE MUST BE CLEARLY IDENTIFIED, AND
MON.
TUE.
THU.
FRI.
SAT.
MAY NOT EXCEED A CONTINUOUS
IF YOU HAVE MORE THAN ONE PLACE OF
EMPLOYMENT, EACH EMPLOYER MUST
WED.SUN.
COMPLETE A SEPARATE APPLICATION.
What is the distance and the commuting time from your residence to your place of employment? |
Is public transportation available |
|
|
|
from your residence to your |
YES |
NO |
|
place of employment? |
||
|
|
|
|
What significant hardship(s) will you suffer without a Special Operator's Permit? |
|
|
|
What efforts have you made to obtain other transportation?
INABILITY TO CONFIRM YOUR EMPLOYMENT MAY RESULT IN DENIAL OF YOUR SPECIAL OPERATOR'S PERMIT.
PRINTED NAME OF SUPERVISOR
SIGNATURE OF SUPERVISOR
X
PRINTED JOB TITLE OF SUPERVISOR
WORK TELEPHONE
( )
NOTICE:
OATH:
Your operator's license is under suspension. If you operate any vehicle outside of the authorized hours, you may be subject to arrest. If you operate a motor vehicle for a purpose not authorized by law, a police officer may make a report to the Commissioner of Motor Vehicles and you will be subject to a civil penalty of up to $500. If your operator's license is suspended for another reason while you are in possession of this permit, the permit is revoked, and if you thereafter operate a motor vehicle you will be subject to double the penalties imposed by law. If you alter or make improper use of the permit, you will be subject to criminal penalties.
I swear or affirm under penalty of false statement in accordance with Connecticut General Statute
PRINTED NAME OF APPLICANT |
SIGNATURE OF APPLICANT |
DATE SIGNED |
X
DMV USE ONLY
PERMIT:
APPROVED
DENIED
DATE PERMIT ISSUED |
(If Approved) |
PERMIT VALID UNTIL (If Approved)
REASON FOR DENIAL
DRIVING HISTORY
NO SIGNIFICANT HARDSHIP
INELIGIBLE
OTHER (Provide Details)
AUTHORIZED SIGNATURE (DMV)
X
PRINTED NAME
DATE SIGNED
Common mistakes
Filling out the Connecticut A-62 form can be a straightforward process, but several common mistakes can lead to delays or denials. One frequent error is failing to print or type the information clearly. Handwritten applications that are difficult to read may result in misunderstandings or omissions. It is essential to ensure that all details are legible to avoid any complications.
Another mistake involves not providing accurate information regarding employment. Applicants often overlook the requirement to include the name and address of their employer. If self-employed, they must submit legal proof of their business. Incomplete or incorrect employment details can lead to an inability to confirm the applicant's employment, which may result in denial of the permit.
Many individuals also neglect to specify their days and hours of employment clearly. The application requires that the schedule be outlined in detail, including AM or PM designations. Failing to do so can create confusion and may lead to the application being rejected.
In addition, applicants sometimes forget to indicate whether public transportation is available from their residence to their workplace. This question is crucial, as it helps the DMV assess the necessity of the special permit. A simple “yes” or “no” answer can significantly impact the outcome of the application.
Another common oversight is not addressing the significant hardships that would arise without the special operator's permit. Applicants should provide a thorough explanation of their circumstances. Vague or insufficient descriptions may lead to the perception that the applicant does not genuinely require the permit.
Some people fail to include their home telephone number. This piece of information is vital for the DMV to reach the applicant if there are any questions or issues with the application. Omitting this detail can slow down the process.
Furthermore, applicants must remember to sign and date the application. A missing signature can result in the application being deemed incomplete. This simple step is often overlooked, but it is essential for the processing of the permit.
It is also important to ensure that the application fee is included. A $100.00 non-refundable fee must accompany the application in the form of a check or money order made out to the DMV. Submitting the application without the fee will result in a denial.
Lastly, applicants should be aware of the consequences of operating a vehicle outside the permitted hours or for unauthorized purposes. Understanding these stipulations is crucial to avoid potential legal issues. Being well-informed can help applicants navigate the process more smoothly and responsibly.
Key takeaways
When filling out and using the Connecticut A 62 form, keep the following key points in mind:
- Complete the form accurately: Ensure that all information is printed or typed clearly. This includes your name, address, and employment details.
- Separate applications for multiple jobs: If you have more than one employer, each position requires its own application. Do not combine them.
- Include the application fee: A non-refundable fee of $100 must accompany your application. This should be paid via check or money order made out to the DMV.
- Know the restrictions: The Special Permit Program does not allow the operation of vehicles that require a Commercial Driver's License (CDL) or are used for public passenger transportation.
- Be mindful of your schedule: Clearly indicate your work hours, which should not exceed a continuous 12-hour period per day. Specify days of the week as needed.
- Understand the consequences: Operating a vehicle outside authorized hours or for unauthorized purposes can lead to legal penalties, including arrest and fines.
By following these guidelines, you can ensure a smoother application process for your Special Operator's Permit in Connecticut.
Similar forms
The Connecticut A 62 form is similar to the Application for a Restricted License, which allows individuals with suspended licenses to drive under specific conditions. Like the A 62, this application requires detailed information about the applicant's employment and commuting needs. Both forms aim to provide a legal means for individuals to maintain their employment despite their license suspension. Additionally, they both involve a review of the applicant's driving record to ensure compliance with state regulations.
In New York, securing the appropriate documentation for motorcycle transactions is essential, much like other driving permits and applications. Understanding the intricacies of the New York Motorcycle Bill of Sale enhances the sale process, ensuring both parties are protected and informed. For more insights, you can refer to Templates and Guide, which provides valuable resources for navigating this legal landscape effectively.
Another document comparable to the A 62 form is the Application for a Work Permit. This permit is designed for individuals who need to drive for work-related purposes but have restrictions on their driving privileges. Similar to the A 62, the work permit application requires proof of employment and a clear outline of work hours. Both documents emphasize the necessity of maintaining employment while navigating the challenges posed by a suspended license.
The Application for a Temporary License is also akin to the A 62 form. This document grants limited driving privileges to individuals while they await the resolution of their license suspension. Both applications necessitate information about the applicant's employment situation and commuting requirements. They serve a common goal: to help individuals continue their daily lives and responsibilities despite legal driving restrictions.
Lastly, the Application for a Hardship License bears similarities to the A 62 form. This type of license is issued to individuals who can demonstrate a significant need to drive, often for work or medical purposes. Like the A 62, applicants must provide evidence of hardship and detail their driving needs. Both forms require a thorough review process, ensuring that only those with legitimate needs are granted the ability to drive under restricted conditions.