Connecticut Form H 109 PDF Details

In Connecticut, the handling of abandoned motor vehicles falls under a structured process facilitated by the H-109 form, a crucial document issued by the State's Department of Motor Vehicles (DMV). This form serves as a formal report and is a necessary step for municipalities dealing with vehicles left unattended, especially those that are deemed to have little to no value, are not operational as motor vehicles, and are missing valid marker plates. Recognized under the Connecticut General Statutes §14-150(d), it outlines specific criteria for a vehicle to be considered abandoned, emphasizing vehicles valued at $500 or less. Municipal authorities are required to fill out Section A of this form as soon as a vehicle is taken into custody, detailing essential information such as the vehicle's make, model, identification number, and the location where it was found. This process ensures that the vehicle is legally documented and allows the municipality to take possession. The form must be submitted to the Connecticut DMV within 48 hours of the vehicle coming into the municipality's custody to remain compliant with state laws. Additionally, Section B is completed when the vehicle is transferred, typically to a junkyard, which formalizes the change of ownership. This section is crucial as it serves in lieu of a title for the new owner. The H-109 form thus streamlines the procedure for managing abandoned vehicles, helping to keep the streets clear and providing a clear trail of ownership transfer.

QuestionAnswer
Form NameConnecticut Form H 109
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesct abandoned vehicle form, connecticut report abandoned vehicle, ct municipality motor form, ct h 109

Form Preview Example

MUNICIPALITY REPORT OF ABANDONED MOTOR VEHICLE

STATE OF CONNECTICUT

-

H-109 REV. 3-2018

DEPARTMENT OF MOTOR VEHICLES

 

TITLE SECTION

 

INSTRUCTIONS

60 STATE STREET, WETHERSFIELD, CT 06161

 

On The Web At ct.gov/dmv

 

1.Complete SECTION A for each abandoned motor vehicle which is determined to be: (a) valued at $500.00 or less; (b) unusable as a motor vehicle; and (c) without a valid marker plate (C.G.S. §14-150(d)).

2.Submit original form to the Department of Motor Vehicles within 48 HOURS of the time the motor vehicle is taken into custody.

3.Retain a copy and complete SECTION B when vehicle ownership is transferred. Submit copy to transferee in lieu of a vehicle title.

TO: DEPARTMENT OF MOTOR VEHICLES, TITLE SECTION, 60 STATE STREET, WETHERSFIELD, CT 06161

SECTION A - TO BE COMPLETED WHEN MUNICIPALITY TAKES POSSESSION OF MOTOR VEHICLES

NAME OF MUNICIPALITY (in which title is vested)

DATE AND TIME VEHICLE TAKEN INTO CUSTODY

NAME OF OFFICER OR INSPECTOR (who determines vehicle meets C.G.S. §14-150(d))

BADGE NUMBER

VEHICLE

INFORMATION

YEAR

MAKE/MODEL

VEHICLE IDENTIFICATION NUMBER

 

 

 

LOCATION VEHICLE ABANDONED

(No. & Street)

(City or Town)

BUSINESS NAME & ADDRESS OF TOWER

AMOUNT OF CHARGE IMPOSED BY TOWER

$

I hereby certify the above abandoned vehicle meets the specifications of C.G.S. §14-150(d) and that the vehicle identification number has been checked through NCIC.

DEPARTMENT NAME

AUTHORIZED SIGNATURE OF MUNICIPAL OFFICIAL

X

DATE SIGNED

SECTION B - TO BE COMPLETED WHEN MUNICIPALITY TRANSFERS OWNERSHIP OF MOTOR VEHICLE TO JUNKYARD

TRANSFEREE INFORMATION

NAME

ADDRESS

(No. & Street)

(City or Town)

(State)

(Zip Code)

DEPARTMENT NAME

AUTHORIZED SIGNATURE OF MUNICIPAL OFFICIAL

X

DATE SIGNED

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