Form K-9B "Certification of Conformity With State and Federal Statutes" - Connecticut

What Is Form K-9B?

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 April 1, 2015;
  • 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 K-9B 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 K-9B "Certification of Conformity With State and Federal Statutes" - Connecticut

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STATE OF CONNECTICUT
DEPARTMENT OF MOTOR VEHICLES
60 STATE STREET
WETHERSFIELD, CONNECTICUT 06161
On The Web At ct.gov/dmv
Certification of Conformity with State and Federal Statutes
I
(name of Licensed Engineer) certify that I have
examined the vehicles or vehicle specifications for all vehicles, motor vehicles, motorcycles, mopeds or
motor driven cycles, including three wheeled vehicles, trailers, buses or heavy trucks that are offered for
sale in Connecticut by
(name of manufacturer) and that such
vehicles are in full compliance with all applicable Connecticut laws, 49 CFR Part 571 Federal Motor
Safety Standards (FMVSS) and other applicable Federal laws or regulations.
I further understand that
DMV reserves the right to review test results from any and all testing that has been performed on such
vehicles.
I further certify that I have examined photographs depicting the vehicles, motor vehicles, motorcycles,
mopeds or motor driven cycles, including three wheeled vehicles, trailers, buses or heavy trucks that
(name of manufacturer) has submitted to the Connecticut
Department of Motor Vehicles with its application. The photographs accurately depict the vehicles that
(name of manufacturer) intends to offer for sale in
Connecticut.
The information provided to the Commissioner herein is subscribed by me under the penalty of false statement in
accordance with the provisions of section 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-cited laws.
Signature of Licensed Engineer
Printed Name of Licensed Engineer
License Number of Engineer
day of
, 20
Subscribed and sworn to before me this
Notary Public/Commissioner of the Superior Court
If Notary, Commission Expiration Date
K-9B New 4-15
STATE OF CONNECTICUT
DEPARTMENT OF MOTOR VEHICLES
60 STATE STREET
WETHERSFIELD, CONNECTICUT 06161
On The Web At ct.gov/dmv
Certification of Conformity with State and Federal Statutes
I
(name of Licensed Engineer) certify that I have
examined the vehicles or vehicle specifications for all vehicles, motor vehicles, motorcycles, mopeds or
motor driven cycles, including three wheeled vehicles, trailers, buses or heavy trucks that are offered for
sale in Connecticut by
(name of manufacturer) and that such
vehicles are in full compliance with all applicable Connecticut laws, 49 CFR Part 571 Federal Motor
Safety Standards (FMVSS) and other applicable Federal laws or regulations.
I further understand that
DMV reserves the right to review test results from any and all testing that has been performed on such
vehicles.
I further certify that I have examined photographs depicting the vehicles, motor vehicles, motorcycles,
mopeds or motor driven cycles, including three wheeled vehicles, trailers, buses or heavy trucks that
(name of manufacturer) has submitted to the Connecticut
Department of Motor Vehicles with its application. The photographs accurately depict the vehicles that
(name of manufacturer) intends to offer for sale in
Connecticut.
The information provided to the Commissioner herein is subscribed by me under the penalty of false statement in
accordance with the provisions of section 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-cited laws.
Signature of Licensed Engineer
Printed Name of Licensed Engineer
License Number of Engineer
day of
, 20
Subscribed and sworn to before me this
Notary Public/Commissioner of the Superior Court
If Notary, Commission Expiration Date
K-9B New 4-15