DMV Form B-350 PDF Details

In today's digital age, government agencies are increasingly moving towards more efficient, user-friendly processes to accommodate the needs of the public. Among these advances, the Connecticut Department of Motor Vehicles (DMV) offers a convenient option for residents needing to update or replace their driver's licenses or identification cards without an in-person visit. The DMV B-350 form, officially titled "Request for a Connecticut Driver's License/Identification Card by Mail," serves as a critical tool for those temporarily out of state or country, incarcerated individuals, military personnel, or individuals with incapacitating medical conditions who are unable to visit a DMV office in person. This comprehensive form not only facilitates the renewal or replacement of these essential documents but also incorporates sections for updating voter registration, affirming organ/tissue donor status, and ensuring the applicant's address is current. It underscores an important commitment to accessibility and civic responsibility, embodying Connecticut's approach to keeping government services within reach of all its residents, irrespective of their circumstances.

QuestionAnswer
Form Name DMV Form B-350
Form Length 2 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 30 sec
Other names ct dmv b350 form, ctdmv printable forms, ct license renewal form, b 350 form

Form Preview Example

REQUEST FOR A CONNECTICUT DRIVER'S

LICENSE/IDENTIFICATION CARD BY MAIL

B-350 Rev. 7-16

STATE OF CONNECTICUT

 

DEPARTMENT OF MOTOR VEHICLES

 

MAIL-IN LICENSE TRANSACTION UNIT

 

60 STATE STREET, WETHERSFIELD, CT 06109

(SEE INSTRUCTIONS ON BACK)

DMV VALIDATION AREA

NAME OF APPLICANT ON DRIVER'S LICENSE (Last, First, Middle Initial)

DRIVER'S LICENSE OR ID CARD NUMBER (If known)

DATE OF BIRTH

STREET ADDRESS WHERE LICENSE IS TO BE MAILED

EYE COLOR

GENDER

HEIGHT

CITY

STATE

COUNTRY

ZIP/POSTAL CODE

CLASS (If known)

ENDORSEMENTS (If known)

RESTRICTIONS (If known)

SECTION A

STATE THE REASON YOU CANNOT APPEAR AT DMV IN PERSON

OUT-OF-STATE

OTHER (Explain):

OUT-OF-COUNTRY

INCARCERATED/INMATE NUMBER:

MILITARY

(Complete Section E on back of form)

APPLICATION FOR:

 

DUPLICATE LICENSE ($30.00)

RENEWAL OF NON-DRIVER ID ($22.50)

DUPLICATE NON-DRIVER IDENTIFICATION CARD ($30.00)

RENEWAL OF DRIVER LICENSE ($72.00 for 6 year renewal or $24.00 for 2

DUPLICATE LEARNER PERMIT ($19.00)

year renewal. A 2 year renewal is only available for operators 65 years or older.)

 

DRIVER LICENSE RENEWALS ONLY: IF YOU ARE RENEWING YOUR DRIVERS LICENSE THIS FORM MUST BE RECEIVED BY THE DMV PRIOR TO YOUR EXPIRATION DATE.

AN ADDITIONAL LATE FEE OF $25 WILL APPLY IF YOUR RENEWAL IS RECEIVED BY DMV AFTER YOUR EXPIRATION DATE.

REASON FOR DUPLICATE:

LOST

STOLEN

DESTROYED

CONNECTICUT RESIDENT ADDRESS (Number, Street, City or Town, State, Zip Code)

MILITARY: Connecticut address at time of induction

 

 

 

 

 

 

 

 

 

 

CONNECTICUT MAILING ADDRESS (If different from Connecticut resident address)

 

 

 

 

 

 

 

 

 

 

 

 

 

E-MAIL ADDRESS

MAY WE CONTACT YOU VIA E-MAIL?

PHONE NUMBER YOU CAN BE REACHED AT

 

FAX NUMBER (If available)

 

YES

 

NO

(If available)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SHOULD DMV CHANGE THE CURRENT MAILING

 

 

 

DO YOU WANT TO BE IN THE ORGAN/TISSUE DONOR REGISTRY?

 

ADDRESS TO THE ADDRESS WHERE THE

YES

NO

 

YES

NO

IF YES, YOU ARE AGREEING TO BE A DONOR AND THE

LICENSE IS TO BE MAILED?

 

 

 

DESIGNATION WILL BE ON YOUR LICENSE.

 

 

 

 

 

SECTION B - CERTIFICATION FOR DRIVER'S LICENSES AND IDENTIFICATION CARDS

The information provided to the Commissioner of Motor Vehicles on this form is subscribed by me, the undersigned, under penalty of false statement, in accordance with the provisions of Sections 14-110 and 53a-157b of the Connecticut General Statutes. I understand that if I make a statement that I do not believe to be true, with the intent to mislead the Commissioner, I will be subject to prosecution under the above referenced laws. Additional Certification for Driver's License: I also swear or affirm, under penalty of false statement, that my driver's license or driving privilege is not suspended, revoked or withdrawn, and that I do not have any health problems or conditions that prevent me from driving safely.

APPLICANT'S SIGNATURE

DATE

X

SECTION C - FEES

 

 

SECTION D - VOTER REGISTRATION APPLICATION

Circle applicable fees and determine correct amount

TO APPLY TO REGISTER TO VOTE YOU MUST BE: A United States citizen; at

TRANSACTION TYPE

FEE

least 18 years of age (by election day); and a resident of Connecticut and the city

or town where you are applying to register to vote.

 

 

 

 

 

 

 

 

Duplicate License (military personnel are not exempt from duplicate

$30.00

Are you a citizen of the United States of America?

YES

NO

fees)

 

 

 

 

 

 

 

 

 

 

 

Will you be 18 years of age on or before election day?

YES

NO

Duplicate Non-Driver Identification Card (military personnel are not

$30.00

If you checked "NO" in response to either of these questions, do

 

exempt from duplicate fees)

 

 

NOT complete below this line as you cannot register to vote.

 

 

 

 

 

 

 

 

Duplicate Learner Permit

$19.00

 

 

 

 

 

 

 

 

 

 

 

 

Do you wish to enroll in a political party?

 

 

 

 

 

 

 

 

 

Renewal of Non-Driver ID

$22.50

 

 

 

 

 

YES

NAME OF PARTY:

DEMOCRATIC

REPUBLICAN

 

 

 

 

 

 

Renewal of 6 year driver license

$72.00

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER:

 

 

 

 

Renewal of a 2 year driver license (only available for operators 65

$24.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

years or older)

 

 

NO

I DO NOT WISH TO ENROLL IN A PARTY AT THIS TIME AND

 

 

 

 

 

 

 

 

WILL BE REGISTERED AS UNAFFILIATED

 

 

 

Late fee for renewal of driver license (You must apply a late fee if

 

 

 

 

 

 

 

 

 

Note: Declaring a party enables you to vote in the party's primary election, which is

your application will be RECEIVED by DMV after its expiration date.

$25.00

 

Failure to include the late fee will delay the processing of your

 

open only to party members. You may later choose to switch enrollment to or from

 

 

a political party.

 

 

 

 

application).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LEAVING THIS SECTION BLANK WILL AUTOMATICALLY RESULT IN

TOTAL ENCLOSED

$

SELECTING UNAFFILIATED

 

 

 

 

 

 

 

 

 

 

 

 

PAYMENT ENCLOSED (Check or money order)

 

 

VOTER DECLARATION:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• I swear or affirm under penalty of perjury that:

 

 

 

 

 

 

 

* I am a U.S. Citizen

 

 

 

 

CREDIT CARD PAYMENT (Please call (860)263-5401 24 hours after emailing/faxing

 

 

* I live in Connecticut at the address shown above

 

 

 

the form to provide credit card number)

 

 

 

* I am at least 17 years old

 

 

 

 

 

 

 

 

* I have not been convicted of a disfranchising felony, or if so,

 

 

 

 

 

I am eligible to register to vote

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE OF APPLICANT**

 

 

TODAY'S DATE

 

 

 

 

 

 

 

**Voter registrations without signatures will not be processed.

 

 

 

The information that I have provided is true to the best of my knowledge under

 

 

penalty of perjury. If I have provided false information, I may be subject to a fine or

 

 

imprisonment or both under federal or state laws.

 

 

 

 

 

By signing this application form, you agree to allow the signature from your license

 

 

record to be used as the signature on your voter registration record.

 

INSTRUCTIONS:

NOTE:

Out of State/Country Applicants: You MUST provide an out of state/country address, if you do not provide an out of

 

state/country address your application cannot be processed by mail and you must appear at your local branch office.

 

Your Connecticut license/identification will be sent to the out of state/country address provided via regular mail unless

 

a prepaid overnight mailer is included with your request.

1.Only legal residents of Connecticut with a VALID CT license/identification card who meet the following criteria may use this application: a) must be temporarily located out of state/out of country b) currently incarcerated c) currently suffering from an incapacitating medical condition, which does not allow you to appear in person for your duplicate/renewal. (See number 5 for additional requirements)

2.Complete section A entirely. Type or print clearly. Sign the certification in section B.

3.Complete Section D if you want to apply to register to vote in CT. To register, you must be a U.S. citizen and at least 18 years old before the next election. You are not a voter until your application is approved by the registrar of voters in your CT town of residence. If you do not receive an acceptance or rejection within three weeks, contact the registrar of voters.

4.Military: If recently honorably discharged or an active member of the armed services of the United States, Section E (below) must be completed if requesting a no fee renewal. A fee exemption is not given for duplicate licenses or identification cards.

5.Medical Condition: If request is due to a incapacitating medical condition this application must be submitted with the Request to renew or obtain duplicate by mail due to medical conditions (CI-1) form.

6.Mail completed application, a self-addressed, stamped envelope (first class if mailed in US/$1.10 if mailed outside US) and payment (fees are listed in section C) to: DMV Mail-In License Transaction Unit, 60 State Street, Wethersfield, CT 06109. (Make checks or money orders payable to "DMV" - All funds must be in United States dollars drawn from a United States bank).

A.Email (DMV.CIU@ct.gov) or Fax (860)263-5591 a completed Request for a Connecticut Driver's License/Identification Card by Mail (B-350) and CI-1 (if applicable).

B.After one business day contact the Mail-In License Transaction Unit at (860)263-5401 during the

following business hours: Monday through Friday 8:30am - 3:00pm (closed on all observed state holidays).

C. The staff in the Centralized Issuance Unit will obtain the credit card information needed to process your transaction.

The following transactions cannot be renewed through the mail: A renewal of a commercial driver license (CDL) or public service license or a change of name. These transactions must be processed in person at a full-service DMV.

Effective October 3, 2011 the Mail-In License Transaction Unit will not be issuing "VERIFIED" licenses or identification cards through the mail unless they have been previously verified by the Department of Motor Vehicles.

If a duplicate license/identification card is requested and it has not been verified you will be issued a "Legacy" license/identification card.

If a renewal of an license/identification card is requested and it has not been verified you will be issued a license/identification card that is marked "NOT FOR FEDERAL IDENTIFICATION."

CURRENT VERIFIED LICENSE HOLDERS ONLY: In order to maintain your verified license status you must appear in person every other license/identification card renewal (6 CFR 37.25).

ACTIVE MILITARY PERSONNEL ONLY SECTION E

Connecticut General Statutes, Section 14-50(c). The Commissioner of Motor Vehicles shall waive the operator's license fee and examination fee in the case of any person in the active service of the armed forces of the United States who was a legal resident of Connecticut at the time of his induction; and for one licensing period to any person honorably separated from service who applies therefore within two years following the date of separation and was a legal resident of Connecticut at the time of his induction.

I AM ENTITLED TO A WAIVER

Present Active Service in U.S. Armed Forces

 

DATE OF INDUCTION

DATE OF SEPARATION

Honorably Separated From Active Service

 

 

 

BECAUSE OF (Check One)

 

 

 

(If checked, fill in date of separation and submit copy of separation papers -DD214)

 

 

 

 

 

 

 

 

 

 

 

RANK

 

BRANCH OF SERVICE

 

 

 

 

 

 

 

 

NAME AND MAILING ADDRESS OF ARMED FORCES UNIT

 

 

 

 

 

 

 

 

I certify that I was a legal resident of the state of Connecticut at the time of my induction and that all

SIGNATURE OF APPLICANT

 

 

 

 

information provided in this application is correct.

X

 

I certify under penalty of false statement in accordance with provision of Section 14-110 and 53a-157b

SIGNATURE OF COMMISSIONED OFFICER IN CHARGE (If Active)

of the Connecticut General Statutes that the above named applicant is in the active service of the U.S.

 

 

 

Armed Forces. I understand that if I make a statement which I do not believe to be true, with the

X

 

intent to mislead the Commissioner, I will be subject to prosecution under the above referenced laws.

 

 

 

 

 

 

 

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Part no. 1 in submitting renewal application form ct

2. The third step is usually to complete the following blank fields: TRANSACTION TYPE, Duplicate License military, Duplicate NonDriver Identification, Duplicate Learner Permit, Renewal of NonDriver ID, Renewal of year driver license, Renewal of a year driver license, Late fee for renewal of driver, TOTAL ENCLOSED, PAYMENT ENCLOSED Check or money, FEE, CREDIT CARD PAYMENT Please call, SECTION D VOTER REGISTRATION, Are you a citizen of the United, and Will you be years of age on or.

Step no. 2 in filling out renewal application form ct

It is easy to make a mistake while filling out your PAYMENT ENCLOSED Check or money, for that reason be sure to go through it again prior to when you send it in.

3. Completing Connecticut General Statutes, I AM ENTITLED TO A WAIVER BECAUSE, RANK, Present Active Service in US Armed, DATE OF INDUCTION, DATE OF SEPARATION, Honorably Separated From Active, BRANCH OF SERVICE, NAME AND MAILING ADDRESS OF ARMED, I certify that I was a legal, I certify under penalty of false, SIGNATURE OF APPLICANT, and X SIGNATURE OF COMMISSIONED is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

renewal application form ct completion process described (portion 3)

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