Ct B303 Form PDF Details

The State of Connecticut's Department of Motor Vehicles issues the CT B303 form, a crucial document for vehicle owners, dealers, and repairers, particularly concerning the inflatable restraint systems, also known as airbags. This Air Bag Certification Statement requires detailed information about the vehicle, including make, model, year, and vehicle identification number, alongside the owner's details and the licensed dealer or repair facility's information. It plays a pivotal role in affirming the inspection and the proper functioning of airbag systems post-collision, adhering strictly to factory procedures. Crucially, it demands the declaration of the technician's certification, potentially involving I-CAR, ASE, or TECH-COR credentials, in cases where the inspection isn't conducted by a franchised dealer. The integrity of this certification is underscored by a legal attestation that any false statements can lead to severe penalties under the Connecticut General Statutes, highlighting the seriousness of airbag fraud. This fraud, defined within the statutes, is classified as a significant crime, with penalties ranging from misdemeanors to felonies based on the severity of the fraud committed. As such, the CT B303 form serves not only as a procedural compliance document but also as a safeguard against the risks and legal consequences associated with improper airbag installations.

QuestionAnswer
Form NameCt B303 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesct b303, airbag certification, airbag certification ct, false

Form Preview Example

INFLATABLE RESTRAINT SYSTEM

 

 

 

 

AIR BAG CERTIFICATION STATEMENT

 

STATE OF CONNECTICUT

 

 

B-303 REV. 8-2007

 

 

 

 

DEPARTMENT OF MOTOR VEHICLES

 

 

 

 

 

 

 

DEALERS AND REPAIRERS DIVISION

 

 

 

 

 

On The Web At ct.gov/dmv

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OWNER OF VEHICLE

 

 

 

 

 

 

 

 

 

 

 

RESIDENT ADDRESS OF OWNER

(Number and Street)

 

(City or Town)

(State)

(Zip Code)

 

 

 

 

 

 

DEALER OR REPAIRER

 

 

 

LICENSE NUMBER

 

 

 

 

 

 

 

ADDRESS OF DEALER OR REPAIR FACILITY

(Number and Street)

 

(City or Town)

(State)

(Zip Code)

 

 

 

 

 

 

MAKE

 

 

MODEL

YEAR

 

 

 

 

 

 

 

VEHICLE IDENTIFICATION NUMBER

 

 

DATE OF AIR BAG SYSTEM INSPECTION

 

 

 

 

 

 

 

 

NOTE: If other than franchised dealer for type of vehicle listed above, a photocopy of the technician's certification of training ( I-CAR, ASE or TECH-COR) on air bag or passive restraint systems must accompany this statement.

By signing below, you attest that the air bag system, including associated sensors and controls, in the vehicle listed above, was inspected in accordance with established factory procedures for vehicles that have been in a collision, and you found the air bag system in proper operating condition.

I certify, under penalty of false statement, that the statements made on this application are true and correct, to the best of my knowledge and belief. I further acknowledge, that any false statement or statements made on this form are punishable under Section 53a-157b of the Connecticut General Statutes.

PRINT NAME OF TECHNICIAN

SIGNATURE OF TECHNICIAN

X

DATE SIGNED

SUBSECTION (16) OF SECTION 53A-119 OF THE CONNECTICUT GENERAL STATUTES

READS AS FOLLOWS:

"A person is guilty of air bag fraud when such person, with intent to defraud another person, obtains property from such other person or a third person by knowingly installing or reinstalling any object in lieu of an air bag that was designed in accordance with the federal safety requirements as provided in 49 CFR 571.208, as amended, and which is proper for the make, model and year of the vehicle, as part of the vehicle inflatable restraint system."

The penalty for this offense varies from a class C misdemeanor to a class B felony depending on the amount charged for the air bag. A misdemeanor offense is punishable by a term of imprisonment of not more than one

(1) year. A felony offense is punishable by a term of imprisonment in excess of one (1) year.

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