Form B-230 PDF Details

Applicants must prove identity, and provide their SSN, residency and legal presence.

Documentation: a full listing of acceptable documentation may be obtained at any DMV, AAA office, Nutmeg State Financial Credit Union, or at ct.gov/dmv.

Signature: the signature of applicant or designee must be signed in presence of Department of Motor Vehicles official.

Selective Service: signing consents to registration with the Selective Service System, provided the applicant is at least age 16 but under age 26 and meets the criteria.

Organ/tissue donor registry: if yes, you are agreeing to be a donor; the designation will appear on your identification card.

QuestionAnswer
Form NameForm B-230
Form Length2 pages
Fillable?Yes
Fillable fields30
Avg. time to fill out5 min
Edition4-2022
Issuing agencyConnecticut Department of Motor Vehicles
Who signsThe applicant or designee
Matches the agency's fileYes, checked October 1, 2026
Other namesB-230, B 230, B230, Form B-230, B-230 form, Connecticut ID Card Requirements and Application
Official sourceForm B-230 (Rev 4-2022), Connecticut Department of Motor Vehicles

How to Fill Out Form B-230

Form B-230 at a glance

What it is: Form B-230 is the Connecticut Identification (ID) Card Requirements and Application of the State of Connecticut Department of Motor Vehicles.

Where to get it: A full listing of acceptable documentation may be obtained at any DMV, AAA office, Nutmeg State Financial Credit Union, or at ct.gov/dmv.

Applicants must surrender any driver's license or identity card from any state or U.S. territory.

Applicants must prove identity, and provide their SSN, residency and legal presence.

A filled-in Form B-230 example: a new ID card for a U.S. citizen

Form B-230 example filled out, example: a new ID card for a U.S. citizen
Dana Marie Sample applies for a new Connecticut ID card. She is a U.S. citizen, has a Connecticut license to surrender, and does not need a fee waiver. The picture shows the filled application, and every value in it is made up. She is a new applicant, so DUPLICATE, RENEWAL and EXCHANGE in NEW DUPLICATE RENEWAL EXCHANGE stay empty. Her resident address is permanent, so PERMANENT is ticked. Her mailing address is also her resident address, so the resident address, if different from mailing address, stays empty. She is a U.S. citizen, so the alien registration number in Social security number, citizenship and current license stays empty. She wants to be in the donor registry, so the YES box is ticked. Nothing goes in Declaration of homeless status by designee because she is not homeless and pays the fee.

How to fill out Form B-230, box by box

NEW DUPLICATE RENEWAL EXCHANGE

Form B-230 example filled out, nEW DUPLICATE RENEWAL EXCHANGE

Mark NEW, DUPLICATE, RENEWAL or EXCHANGE.

Name, date of birth, mailing address and resident address, if different from mailing address

Form B-230 example filled out, name, date of birth, mailing address and resident address, if different from mailing address

Enter the LAST NAME (Please Print), FIRST NAME, MIDDLE NAME and SUFFIX.

Enter the DATE OF BIRTH.

Enter the MAILING ADDRESS (No. and Street) (City or Town) (State) (Zip Code).

Enter the RESIDENT ADDRESS, IF DIFFERENT FROM MAILING ADDRESS (No. and Street) (City or Town).

Resident address is, height, gender and eye color

Form B-230 example filled out, resident address is, height, gender and eye color

For RESIDENT ADDRESS IS (Check One), mark PERMANENT or TEMPORARY.

Enter the HEIGHT in Feet, Inches.

For GENDER, mark MALE (M), FEMALE (F) or NON-BINARY (X).

Enter the EYE COLOR.

Social security number, citizenship and current license

Form B-230 example filled out, social security number, citizenship and current license

Enter the SOCIAL SECURITY NUMBER.

For ARE YOU A U.S. CITIZEN?, mark YES or NO. IF NO, LIST ALIEN REGISTRATION NUMBER.

For DO YOU CURRENTLY HAVE A LICENSE, ID CARD OR LEARNER'S PERMIT?, mark YES or NO.

IF YES, enter the WHAT STATE OR U.S. TERRITORY? and the LICENSE OR ID CARD NUMBER.

Organ and tissue donor registry, phone number and e-mail

Form B-230 example filled out, organ and tissue donor registry, phone number and e-mail

For DO YOU WANT TO BE IN THE ORGAN/TISSUE DONOR REGISTRY?, mark YES or NO.

If yes, you are agreeing to be a donor. The designation will appear on your identification card.

Enter the PHONE NUMBER and E-MAIL.

Declaration of homeless status by designee

Form B-230 example filled out, declaration of homeless status by designee

Section 1-1h of the Connecticut General Statutes allows a resident of a homeless shelter, or other facility for homeless persons or a certified homeless youth or certified homeless young adult, to apply for a NO FEE Non-driver's identification card. Declaration of homeless status (ADULT) must be completed by a director or other authorized official of the Homeless Shelter or other facility as defined in the Regulations of Connecticut State Agencies section 1-1h-8 and Connecticut General Statutes section 1-1h. The signature of an authorized official of the facility/shelter is required on form B-230.

Under DECLARATION OF HOMELESS STATUS BY DESIGNEE, enter the NAME OF FACILITY/SHELTER and the ADDRESS OF FACILITY/SHELTER.

Enter the NAME OF FACILITY/SHELTER OFFICIAL (Please Print) (Last Name) (First Name) (Middle Initial).

By signing this form the official of the homeless shelter or other facility; including but not limited to, school district homeless liaison, emergency shelter director, director of a runaway or homeless youth facility, is attesting that the individual listed in the Applicant section is homeless, and qualifies to have the non-driver identification fee waived.

Enter the SIGNATURE OF FACILITY/SHELTER OR DESIGNATED OFFICIAL and the DATE SIGNED.

More rules for Form B-230

Veterans (defined in C.G.S. 27-103) who are considered blind, as defined in subsection (a) of Section 1-1f of the CT General Statutes, may be issued a NO FEE Non-driver's identification card by presenting:

DD214 - Discharge papers indicating the applicant has been honorably discharged.

Letter from doctor/optometrist certifying that the applicant meets the definition of blind outlined in subsection (a) of section1-1f of the CT General Statutes or a Certificate of Legal Blindness from CT Board of Education and Services for Blind.

Certification of homeless youth or homeless young adult must be signed on form B-230 by one of the following: School District Homeless Liaison; Director of emergency shelter funded by the United States Department of Housing and Urban Development or director's designee.

Certification of homeless youth or homeless young adult must be signed on form B-230 by a Director of run away or homeless youth basic center or transitional living program funded by the USA Department of Health & Human Services or director's designee.

Certification of homeless youth or homeless young adult must be signed on form B-230 by a Director of program of a non-profit organization or municipality that is contracted with homeless youth program established pursuant to Section 17a-62a.

Common questions about Form B-230

Are there fees?

Applicants must pay the applicable fee. There is an exception for Blind Veterans and Homeless Persons.

Is there a penalty?

The information provided to the Commissioner of Motor Vehicles by the undersigned is provided under penalty of false statement, in accordance with the provisions of Section 14-110 and 53a-157b of the Connecticut General Statutes. If the undersigned makes a statement which the undersigned does not believe to be true, with the intent to mislead the Commissioner, the undersigned will be subject to prosecution under those laws.

What am I certifying when I sign?

Section 14-36l of the Connecticut General Statutes requires the Commissioner to transmit the applicant's information to the Selective Service System. By signing and submitting this application, the applicant consents to be registered with the Selective Service System, provided the applicant is at least age 16 but under age 26 and meets the criteria for registration in accordance with the Military Selective Service Act. If the applicant is under age 18, the information will be transmitted to Selective Service but the applicant will not be registered until the applicant reaches age 18. Under CERTIFICATION, the SIGNATURE OF APPLICANT OR DESIGNEE must be signed in presence of a Department of Motor Vehicles Official, with the DATE SIGNED.

Sources

[1] Form B-230 (Rev. 4-2022), Connecticut Identification (ID) Card Requirements and Application, State of Connecticut Department of Motor Vehicles (the Official source link on this page).

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