Form B-215 "Special Mobile Equipment Affidavit" - Connecticut

What Is Form B-215?

This is a legal form that was released by the Connecticut Department of Motor Vehicles - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2008;
  • The latest edition provided by the Connecticut Department of Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form B-215 by clicking the link below or browse more documents and templates provided by the Connecticut Department of Motor Vehicles.

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Download Form B-215 "Special Mobile Equipment Affidavit" - Connecticut

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SPECIAL MOBILE EQUIPMENT AFFIDAVIT
B-215 REV. 5-2008
STATE OF CONNECTICUT
DEPARTMENT OF MOTOR VEHICLES
BRANCH OPERATIONS DIVISION
On The Web At ct.gov/dmv
MAKE
BODY STYLE
I.D. NUMBER
REGISTRATION NUMBER
VEHICLE
INFORMATION
NAME OF APPLICANT
ADDRESS OF APPLICANT
CHECK THE APPLICABLE BOX BELOW
SPECIAL MOBILE EQUIPMENT
I certify that the vehicle described above is equipped for safe operation on Connecticut highways,
including brakes and signal lights where required. Vehicle will not be operated upon or across any
highway one-half hour after sunset to one-half hour before sunrise or other times of insufficient light
unless equipped with headlights and tail lamps. Movement of the vehicle will be restricted from
place of storage to the construction site or from one site to another. Vehicle will not be used to
transport passengers or payload when on highway except when operating on highway construction
project or on construction project which requires crossing highway to the extent required by the
project.
SPECIAL MOBILE AGRICULTURE VEHICLE
I certify that the vehicle described above is a vehicle operated in conjunction with the commercial
operation of agriculture support, where commercial operation of agriculture support is limited to
those services provided by a commercial entity to the agriculture industry and shall be limited to the
spreading or spraying of materials to promote the growth of crops. I further certify that the vehicle
described above is equipped for safe operation on Connecticut highways, including brakes and
signal lights where required. The vehicle will not be operated one-half hour after sunset to one-half
hour before sunrise or at other time of insufficient light or unfavorable atmospheric conditions when
persons or vehicles on highway are not discernible at a distance of 500 feet ahead or at any time
during periods of precipitation, including, but not limited to, periods of snow, rain or fog. Movement
of the vehicle will be restricted to or from its place or storage, to or from an agriculture location, or
from one agriculture location to another. Such vehicle shall not be used for the transportation of
passengers when operating upon or across a highway.
CERTIFICATION STATEMENT
The information provided to the Commissioner of Motor Vehicles herein is subscribed by me, the undersigned, under penalty
of false statement, in accordance with the provision of Section 14-110 and 53a-157b of the Connecticut General Statutes. I
understand that if I make a statement which I do not believe to be true, with the intent to mislead the Commissioner, I will be
subject to prosecution under the above-cited laws.
SIGNATURE OF APPLICANT
DATE SIGNED
X
SPECIAL MOBILE EQUIPMENT AFFIDAVIT
B-215 REV. 5-2008
STATE OF CONNECTICUT
DEPARTMENT OF MOTOR VEHICLES
BRANCH OPERATIONS DIVISION
On The Web At ct.gov/dmv
MAKE
BODY STYLE
I.D. NUMBER
REGISTRATION NUMBER
VEHICLE
INFORMATION
NAME OF APPLICANT
ADDRESS OF APPLICANT
CHECK THE APPLICABLE BOX BELOW
SPECIAL MOBILE EQUIPMENT
I certify that the vehicle described above is equipped for safe operation on Connecticut highways,
including brakes and signal lights where required. Vehicle will not be operated upon or across any
highway one-half hour after sunset to one-half hour before sunrise or other times of insufficient light
unless equipped with headlights and tail lamps. Movement of the vehicle will be restricted from
place of storage to the construction site or from one site to another. Vehicle will not be used to
transport passengers or payload when on highway except when operating on highway construction
project or on construction project which requires crossing highway to the extent required by the
project.
SPECIAL MOBILE AGRICULTURE VEHICLE
I certify that the vehicle described above is a vehicle operated in conjunction with the commercial
operation of agriculture support, where commercial operation of agriculture support is limited to
those services provided by a commercial entity to the agriculture industry and shall be limited to the
spreading or spraying of materials to promote the growth of crops. I further certify that the vehicle
described above is equipped for safe operation on Connecticut highways, including brakes and
signal lights where required. The vehicle will not be operated one-half hour after sunset to one-half
hour before sunrise or at other time of insufficient light or unfavorable atmospheric conditions when
persons or vehicles on highway are not discernible at a distance of 500 feet ahead or at any time
during periods of precipitation, including, but not limited to, periods of snow, rain or fog. Movement
of the vehicle will be restricted to or from its place or storage, to or from an agriculture location, or
from one agriculture location to another. Such vehicle shall not be used for the transportation of
passengers when operating upon or across a highway.
CERTIFICATION STATEMENT
The information provided to the Commissioner of Motor Vehicles herein is subscribed by me, the undersigned, under penalty
of false statement, in accordance with the provision of Section 14-110 and 53a-157b of the Connecticut General Statutes. I
understand that if I make a statement which I do not believe to be true, with the intent to mislead the Commissioner, I will be
subject to prosecution under the above-cited laws.
SIGNATURE OF APPLICANT
DATE SIGNED
X