Form IRP-29 "Individual Vehicle Distance Record (I.v.d.r.)" - Connecticut

What Is Form IRP-29?

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 July 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 IRP-29 by clicking the link below or browse more documents and templates provided by the Connecticut Department of Motor Vehicles.

ADVERTISEMENT
ADVERTISEMENT

Download Form IRP-29 "Individual Vehicle Distance Record (I.v.d.r.)" - Connecticut

706 times
Rate (4.6 / 5) 35 votes
INDIVIDUAL VEHICLE DISTANCE RECORD (I.V.D.R.)
STATE OF CONNECTICUT
TRIP RECORD - MILES AND FUEL
DEPARTMENT OF MOTOR VEHICLES
IRP-29 REV. 7-2008
On The Web At ct.gov/dmv
State law requires the operator to keep a record, by state, of miles driven and fuel purchased.
Maintain records for 6 years for IRP.
NAME OF COMPANY
CONNECTICUT FUEL (Gallons)
NAME OF DRIVER
TRUCK/UNIT NUMBER
OUTSIDE CONNECTICUT FUEL (Gallons)
REGISTRATION PLATE NO.
STARTING DATE
START (City, State)
TOTAL FUEL (Gallons)
TRIP NUMBER (If any)
ENDING DATE
DESTINATION: (Most distant City, State)
TOTAL MILES
L
FUEL GALLONS & TENTHS
ODOMETER
ODOMETER
MILES PER
NAME OF
ROUTE NO. AT
I
DATE
(Attach Receipts)
READING
READING
JURISDICTION
N
JURISDICTION
PORT OF ENTRY
(Beginning)
(Ending)
Tenths (.1 - .9)
GALLONS
E
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
NOTES
CERTIFICATION AND SIGNATURE
SIGNATURE OF DRIVER
DATE SIGNED
I hereby certify that the above
information is true and accurate to
X
the best of my knowledge and belief.
INDIVIDUAL VEHICLE DISTANCE RECORD (I.V.D.R.)
STATE OF CONNECTICUT
TRIP RECORD - MILES AND FUEL
DEPARTMENT OF MOTOR VEHICLES
IRP-29 REV. 7-2008
On The Web At ct.gov/dmv
State law requires the operator to keep a record, by state, of miles driven and fuel purchased.
Maintain records for 6 years for IRP.
NAME OF COMPANY
CONNECTICUT FUEL (Gallons)
NAME OF DRIVER
TRUCK/UNIT NUMBER
OUTSIDE CONNECTICUT FUEL (Gallons)
REGISTRATION PLATE NO.
STARTING DATE
START (City, State)
TOTAL FUEL (Gallons)
TRIP NUMBER (If any)
ENDING DATE
DESTINATION: (Most distant City, State)
TOTAL MILES
L
FUEL GALLONS & TENTHS
ODOMETER
ODOMETER
MILES PER
NAME OF
ROUTE NO. AT
I
DATE
(Attach Receipts)
READING
READING
JURISDICTION
N
JURISDICTION
PORT OF ENTRY
(Beginning)
(Ending)
Tenths (.1 - .9)
GALLONS
E
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
NOTES
CERTIFICATION AND SIGNATURE
SIGNATURE OF DRIVER
DATE SIGNED
I hereby certify that the above
information is true and accurate to
X
the best of my knowledge and belief.