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This document is used to request arbitration in the automobile dispute resolution program in Connecticut.
This form is used for reporting the full-time equivalent (FTE) credits earned by students attending summer school in Connecticut's public school system.
This form is used for authorizing the release of personal information in the state of Connecticut.
This document is for informing secondhand dealers in Connecticut about their requirements.
This document is used to provide information and requirements for individuals or businesses engaged in the buying, selling, or trading of precious metals or stones in the state of Connecticut. It outlines the necessary steps and regulations for becoming a licensed dealer in this field.
This form is used for requesting and cancelling State Police Traffic Services in Connecticut.
This form is used for applying for a license under Chapters 409 and 414 of the Connecticut General Statutes (C.G.S.).
This form is used for registering as a life producer to act as a life settlement broker in the state of Connecticut.
This Form is used for applying for a portable electronic insurance license in the state of Connecticut.
This Form is used for obtaining a Certificate of Assuming Insurer in the state of Connecticut. It is a document that allows an insurance company to assume the policies of another insurance company.
This document is an application form for vendors who want to be qualified to provide behavioral health clinical review criteria in Connecticut. The form is used to assess the qualifications and eligibility of vendors interested in this opportunity.
This Form is used for applying for a Certificate of Registration as a Pharmacy Benefits Manager in the state of Connecticut.
This form is used for establishing a general agent agreement in the state of Connecticut.
This document is an application for obtaining a license as a Life Settlement Provider in the state of Connecticut. It is used by individuals or companies who wish to engage in the business of buying life insurance policies from policyholders.
This form is used for the annual certification of Professional Employer Organizations (PEOs) in Connecticut. PEOs are companies that provide human resources and employee benefits services to other businesses. This certification ensures that PEOs in Connecticut meet certain standards and regulations.
This Form is used for tracking the chain of custody of methadone take-home bottles in Connecticut.
This form is used for consultation and referral related to acquired brain injury (ABI) in Connecticut.
This type of document is used to apply for certification of intermediate duration acute care beds in the state of Connecticut.
This Form is used for applying for a Utilization Review License in the state of Connecticut. It is necessary for individuals or organizations looking to provide utilization review services in Connecticut.
This form is used for renewing a Medical Discount Plant (MDP) license in Connecticut.
This form is used for requesting a lateral transfer within the Department of Mental Health and Addiction Services (DMHAS) in Connecticut.
This form is used for requesting a psychologist emergency examination in Connecticut.
This document is for creating a person-centered recovery plan as part of the DMHAS WISE Program in Connecticut. The plan focuses on providing individualized support and resources to help individuals on their path to recovery from mental health and substance abuse challenges.
This document is for renewing a Medical Discount Plan (MDP) license in Connecticut.
This form is used for reviewing and revising recovery plans in the state of Connecticut.
This form is used for requesting travel authorization in the state of Connecticut.
This document is a discharge report form used in the state of Connecticut. It provides information about the release of a patient from a healthcare facility.
This is a formal instrument completed by a taxpayer to list their full name, contact details, and taxpayer identification number when requested by a party they worked with.
This Form is used for conducting an After Action Review in Connecticut.
This document is used for reporting the receipt of goods or services in the state of Connecticut. It helps in keeping track of the items received and their condition.
This Form is used for applying to the Connecticut State Guard Reserve in Connecticut.
This form is used for submitting requisitions in the state of Connecticut.
This form is used for accessing the training schedule in Connecticut. It helps individuals to stay updated on the upcoming training sessions and events.