Form R-290 "Commercial Motor Vehicle Registration Information Request" - Connecticut

What Is Form R-290?

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 August 1, 2001;
  • 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 R-290 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 R-290 "Commercial Motor Vehicle Registration Information Request" - Connecticut

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COMMERCIAL MOTOR VEHICLE REGISTRATION
INFORMATION REQUEST
STATE OF CONNECTICUT
R-290 REV 8-2001e
DEPARTMENT OF MOTOR VEHICLES
DEALERS AND REPAIRERS DIVISION
INSTRUCTIONS:
On The Web At http://dmvct.org
1.
Please type or print clearly.
2.
Complete section B and return, within 10 business days, to the address below.
TO: Department of Motor Vehicles, Dealers and Repairers Division, 60 State Street, Wethersfield, CT 06161.
SECTION A: VEHICLE DESCRIPTION
REGISTRATION MARKER NUMBER
REGISTRATION STATE
MAKE
MODEL
BODY TYPE
GROSS VEHICLE WEIGHT
VEHICLE IDENTIFICATION NUMBER
DATE REQUEST SUBMITTED TO OPERATOR/OWNER
IS VEHICLE BEING USED FOR CONSTRUCTION ON PURPOSES ON A CT DEPARTMENT OF TRANSPORTATION PROJECT?
NO
YES
SIGNED (Authorized DMV or DOT Personnel)
X
In accordance wit Section 14-12a of the Connecticut General Statutes, a commercial motor vehicle which operates most frequently in this
state is required to obtain registration from the Commissioner of the Connecticut Department of Motor Vehicles. The commercial motor
vehicle described above was observed in the performance of work on a Connecticut infrastructure project, or in operation on Connecticut
roadways. Please provide the Commissioner of Motor Vehicles with information regarding the registration, operation and activities of this
vehicle by completing Section B below.
SECTION B: VEHICLE INFORMATION
NAME OF BUSINESS COMPANY
NAME OF BUSINESS COMPANY
PRINCIPAL ADDRESS OF BUSINESS COMPANY
NAME OF OWNER/MANAGER
OWNER/MANAGER TELEPHONE NUMBER
ADDRESS OF OWNER/MANAGER
NAME OF LESSOR OR LESSEE (If applicable)
LESSOR/LESSEE TELEPHONE NUMBER
ADDRESS WHERE VEHICLE IS MOST FREQUENTLY GARAGED
IS VEHICLE REGISTERED UNDER THE INTERNATIONAL REGISTRATION PLAN?
NO
YES
IS VEHICLE USED TO DISCHARGE OR PICK UP CARGO IN CONNECTICUT?
IS VEHICLE USED TO DISCHARGE OR PICK UP PASSENGERS IN CONNECTICUT?
YES
NO
YES
NO
FREQUENCY OF OPERATION IN CONNECTICUT (Check One)
DAILY
ONE OR TWO TIMES WEEKLY
ONE OR TWO TIMES MONTHLY
LESS FREQUENTLY
DESCRIBE TYPE OF ACTIVITIES IN WHICH VEHICLE INVOLVED WHEN OPERATING IN CONNECTICUT.
SIGNED (Owner, Manager, Lessor, or Lessee)
DATE SIGNED
X
COMMERCIAL MOTOR VEHICLE REGISTRATION
INFORMATION REQUEST
STATE OF CONNECTICUT
R-290 REV 8-2001e
DEPARTMENT OF MOTOR VEHICLES
DEALERS AND REPAIRERS DIVISION
INSTRUCTIONS:
On The Web At http://dmvct.org
1.
Please type or print clearly.
2.
Complete section B and return, within 10 business days, to the address below.
TO: Department of Motor Vehicles, Dealers and Repairers Division, 60 State Street, Wethersfield, CT 06161.
SECTION A: VEHICLE DESCRIPTION
REGISTRATION MARKER NUMBER
REGISTRATION STATE
MAKE
MODEL
BODY TYPE
GROSS VEHICLE WEIGHT
VEHICLE IDENTIFICATION NUMBER
DATE REQUEST SUBMITTED TO OPERATOR/OWNER
IS VEHICLE BEING USED FOR CONSTRUCTION ON PURPOSES ON A CT DEPARTMENT OF TRANSPORTATION PROJECT?
NO
YES
SIGNED (Authorized DMV or DOT Personnel)
X
In accordance wit Section 14-12a of the Connecticut General Statutes, a commercial motor vehicle which operates most frequently in this
state is required to obtain registration from the Commissioner of the Connecticut Department of Motor Vehicles. The commercial motor
vehicle described above was observed in the performance of work on a Connecticut infrastructure project, or in operation on Connecticut
roadways. Please provide the Commissioner of Motor Vehicles with information regarding the registration, operation and activities of this
vehicle by completing Section B below.
SECTION B: VEHICLE INFORMATION
NAME OF BUSINESS COMPANY
NAME OF BUSINESS COMPANY
PRINCIPAL ADDRESS OF BUSINESS COMPANY
NAME OF OWNER/MANAGER
OWNER/MANAGER TELEPHONE NUMBER
ADDRESS OF OWNER/MANAGER
NAME OF LESSOR OR LESSEE (If applicable)
LESSOR/LESSEE TELEPHONE NUMBER
ADDRESS WHERE VEHICLE IS MOST FREQUENTLY GARAGED
IS VEHICLE REGISTERED UNDER THE INTERNATIONAL REGISTRATION PLAN?
NO
YES
IS VEHICLE USED TO DISCHARGE OR PICK UP CARGO IN CONNECTICUT?
IS VEHICLE USED TO DISCHARGE OR PICK UP PASSENGERS IN CONNECTICUT?
YES
NO
YES
NO
FREQUENCY OF OPERATION IN CONNECTICUT (Check One)
DAILY
ONE OR TWO TIMES WEEKLY
ONE OR TWO TIMES MONTHLY
LESS FREQUENTLY
DESCRIBE TYPE OF ACTIVITIES IN WHICH VEHICLE INVOLVED WHEN OPERATING IN CONNECTICUT.
SIGNED (Owner, Manager, Lessor, or Lessee)
DATE SIGNED
X