Form K-159 "Dealer Inspection Ticket Log" - Connecticut

What Is Form K-159?

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 K-159 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-159 "Dealer Inspection Ticket Log" - Connecticut

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DEALER INSPECTION TICKET LOG
STATE OF CONNECTICUT
K-159 REV. 8-2001
INSPECTION TICKET NUMBER RANGE
DEPARTMENT OF MOTOR VEHICLES
DEALERS AND REPAIRERS DIVISION
TO
On The Web At http://dmvct.org
INSTRUCTIONS:
1.
Log each R-300 (10-Year-Old/Out-of-State Inspection Report By Authorized Agent of DMV) used or voided. Every ticket number must be accounted for.
2.
A copy of the completed log(s) must be submitted to DMV to obtain new inspection book(s). Original log(s) and used ticket books are to be retained by the
dealership.
TO: Dealers & Repairers, Department of Motor Vehicles, 60 State Street, Wethersfield, CT06161-2001
TICKET NUMBER INSPECTION DATE
VIN OF VEHICLE INSPECTED
RESULTS OF INSPECTION (Or Voided Ticket)
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
SIGNATURE OF AUTHORIZED OFFICIAL
PRINTED NAME OF AUTHORIZED OFFICIAL
DATE SIGNED
X
DEALER INSPECTION TICKET LOG
STATE OF CONNECTICUT
K-159 REV. 8-2001
INSPECTION TICKET NUMBER RANGE
DEPARTMENT OF MOTOR VEHICLES
DEALERS AND REPAIRERS DIVISION
TO
On The Web At http://dmvct.org
INSTRUCTIONS:
1.
Log each R-300 (10-Year-Old/Out-of-State Inspection Report By Authorized Agent of DMV) used or voided. Every ticket number must be accounted for.
2.
A copy of the completed log(s) must be submitted to DMV to obtain new inspection book(s). Original log(s) and used ticket books are to be retained by the
dealership.
TO: Dealers & Repairers, Department of Motor Vehicles, 60 State Street, Wethersfield, CT06161-2001
TICKET NUMBER INSPECTION DATE
VIN OF VEHICLE INSPECTED
RESULTS OF INSPECTION (Or Voided Ticket)
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
PASS
REJECT
TICKET VOIDED
SIGNATURE OF AUTHORIZED OFFICIAL
PRINTED NAME OF AUTHORIZED OFFICIAL
DATE SIGNED
X