Form K-8 "Dealers and Repairers License Inspection Application" - Connecticut

What Is Form K-8?

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, 2017;
  • 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 printable version of Form K-8 by clicking the link below or browse more documents and templates provided by the Connecticut Department of Motor Vehicles.

ADVERTISEMENT
ADVERTISEMENT

Download Form K-8 "Dealers and Repairers License Inspection Application" - Connecticut

632 times
Rate (4.7 / 5) 38 votes
TYPE OF LICENSE APPLIED FOR
LICENSE NUMBER
PLATE NO.
NO. OF PLATE SETS TAX TOWN
TYPE
DMV
Limited
General
New
Used
Repairer
Repairer
Dealer
Dealer
USE
STATUS OF APPLICATION
AUTHORIZED SIGNATURE
Other
Approved
Disapproved
ONLY
X
(Explain)
LICENSE INSPECTION APPLICATION
STATE OF CONNECTICUT
K-8 REV. 4-2017
DEPARTMENT OF MOTOR VEHICLES
DEALERS AND REPAIRERS SECTION
ALL INFORMATION MUST BE TYPEWRITTEN OR NEATLY PRINTED
SECTION 1 - BUSINESS AND MANAGEMENT INFORMATION
BUSINESS NAME
FEDERAL EMPLOYER IDENTIFICATION NO.
Social Security No. for Sole Proprietor )
(
DOING BUSINESS AS (If a d/b/a is used)
BUSINESS ADDRESS (No. and Street)
(City or Town)
(State)
(Zip Code)
MAILING ADDRESS (if different)
(City or Town)
(State)
(Zip Code)
MANAGER, OPERATOR, CONTACT PERSON
BUSINESS TELEPHONE NUMBER
E-Mail Address
DEPARTMENT OF REVENUE SERVICES TAX IDENTIFICATION NUMBER
NAME AND LICENSE NUMBER OF COMPANY CONTRACTED TO REMOVE HAZARDOUS WASTE
OTHER LICENSES HELD (Leasing, Gasoline, etc. Description and License Number of each)
FRANCHISES (New Car Dealers Only)
DMV USE ONLY - MANUFACTURER LICENSE NO.
SECTION 2A - PERSONNEL INFORMATION
NAME OF PERSON DESIGNATED TO HANDLE DMV COMPLAINTS
NUMBER OF ANTICIPATED EMPLOYEES
Repairs
Helpers
Sales
Office
NAME(S) OF SALES PERSONNEL WHO HAVE COMPLETED A DMV REGISTRY PROCEDURE SEMINAR
NAME(S) OF QUALIFIED REPAIR PERSON(S) TO PERFORM THE REPAIRS YOU WILL BE DOING
NAME(S) OF QUALIFIED SALES PERSONNEL TO CONDUCT VEHICLE SALES
SECTION 2B - PERSONNEL INFORMATION
NAME(S) OF CERTIFIED PERSONNEL AND COPIES OF ANY CERTIFICATE OR CREDENTIALS ISSUED SHOWING DATE OF EXPIRATION (NAISE, ASM TECH, ETC.)
TYPE OF LICENSE APPLIED FOR
LICENSE NUMBER
PLATE NO.
NO. OF PLATE SETS TAX TOWN
TYPE
DMV
Limited
General
New
Used
Repairer
Repairer
Dealer
Dealer
USE
STATUS OF APPLICATION
AUTHORIZED SIGNATURE
Other
Approved
Disapproved
ONLY
X
(Explain)
LICENSE INSPECTION APPLICATION
STATE OF CONNECTICUT
K-8 REV. 4-2017
DEPARTMENT OF MOTOR VEHICLES
DEALERS AND REPAIRERS SECTION
ALL INFORMATION MUST BE TYPEWRITTEN OR NEATLY PRINTED
SECTION 1 - BUSINESS AND MANAGEMENT INFORMATION
BUSINESS NAME
FEDERAL EMPLOYER IDENTIFICATION NO.
Social Security No. for Sole Proprietor )
(
DOING BUSINESS AS (If a d/b/a is used)
BUSINESS ADDRESS (No. and Street)
(City or Town)
(State)
(Zip Code)
MAILING ADDRESS (if different)
(City or Town)
(State)
(Zip Code)
MANAGER, OPERATOR, CONTACT PERSON
BUSINESS TELEPHONE NUMBER
E-Mail Address
DEPARTMENT OF REVENUE SERVICES TAX IDENTIFICATION NUMBER
NAME AND LICENSE NUMBER OF COMPANY CONTRACTED TO REMOVE HAZARDOUS WASTE
OTHER LICENSES HELD (Leasing, Gasoline, etc. Description and License Number of each)
FRANCHISES (New Car Dealers Only)
DMV USE ONLY - MANUFACTURER LICENSE NO.
SECTION 2A - PERSONNEL INFORMATION
NAME OF PERSON DESIGNATED TO HANDLE DMV COMPLAINTS
NUMBER OF ANTICIPATED EMPLOYEES
Repairs
Helpers
Sales
Office
NAME(S) OF SALES PERSONNEL WHO HAVE COMPLETED A DMV REGISTRY PROCEDURE SEMINAR
NAME(S) OF QUALIFIED REPAIR PERSON(S) TO PERFORM THE REPAIRS YOU WILL BE DOING
NAME(S) OF QUALIFIED SALES PERSONNEL TO CONDUCT VEHICLE SALES
SECTION 2B - PERSONNEL INFORMATION
NAME(S) OF CERTIFIED PERSONNEL AND COPIES OF ANY CERTIFICATE OR CREDENTIALS ISSUED SHOWING DATE OF EXPIRATION (NAISE, ASM TECH, ETC.)
SECTION 2C - PERSONNEL INFORMATION
TYPE OF OWNERSHIP (Check one)
SOLE PROPRIETOR
PARTNERSHIP
CORPORATION
LLC
POSITION WITH BUSINESS (Officer, President)
DUTIES WITH BUSINESS (Mechanic, Sales
NAME
manager, etc.)
HOME ADDRESS
(No. and Street)
(City of Town)
(State)
(Zip Code)
DATE OF BIRTH
SOCIAL SECURITY NUMBER
HOME TELEPHONE NUMBER
SEX
DUTIES WITH BUSINESS (Mechanic, Sales
NAME
POSITION WITH BUSINESS (Officer, President)
manager, etc.)
HOME ADDRESS
(No. and Street)
(City of Town)
(State)
(Zip Code)
SOCIAL SECURITY NUMBER
HOME TELEPHONE NUMBER
SEX
DATE OF BIRTH
LIST
OWNERS,
DUTIES WITH BUSINESS (Mechanic, Sales
NAME
POSITION WITH BUSINESS (Officer, President)
manager, etc.)
PARTNERS,
HOME ADDRESS
(No. and Street)
(City of Town)
(State)
(Zip Code)
MEMBERS
DATE OF BIRTH
SOCIAL SECURITY NUMBER
HOME TELEPHONE NUMBER
SEX
(LLC),
MANAGERS
DUTIES WITH BUSINESS (Mechanic, Sales
NAME
POSITION WITH BUSINESS (Officer, President)
manager, etc.)
(LLC)
(State)
HOME ADDRESS
(No. and Street)
(City of Town)
(Zip Code)
OR
DATE OF BIRTH
SOCIAL SECURITY NUMBER
HOME TELEPHONE NUMBER
SEX
CORPORATE
OFFICERS
DUTIES WITH BUSINESS (Mechanic, Sales
NAME
POSITION WITH BUSINESS (Officer, President)
manager, etc.)
Personnel
HOME ADDRESS
(No. and Street)
(City of Town)
(State)
(Zip Code)
Information Must
be Completed For
DATE OF BIRTH
SOCIAL SECURITY NUMBER
HOME TELEPHONE NUMBER
Each Person as
SEX
Listed on the K-7
DUTIES WITH BUSINESS (Mechanic, Sales
NAME
POSITION WITH BUSINESS (Officer, President)
manager, etc.)
Photo Copy of
HOME ADDRESS
(No. and Street)
(City of Town)
(State)
(Zip Code)
Drivers License
For All owners
Must be Attached.
DATE OF BIRTH
SOCIAL SECURITY NUMBER
HOME TELEPHONE NUMBER
SEX
NAME
DUTIES WITH BUSINESS (Mechanic, Sales
POSITION WITH BUSINESS (Officer, President)
manager, etc.)
HOME ADDRESS
(No. and Street)
(City of Town)
(State)
(Zip Code)
SOCIAL SECURITY NUMBER
DATE OF BIRTH
HOME TELEPHONE NUMBER
SEX
NAME
POSITION WITH BUSINESS (Officer, President)
DUTIES WITH BUSINESS (Mechanic, Sales
manager, etc.)
HOME ADDRESS
(No. and Street)
(City of Town)
(State)
(Zip Code)
DATE OF BIRTH
SOCIAL SECURITY NUMBER
HOME TELEPHONE NUMBER
SEX
DMV USE
ONLY
(Inspector's
comments)
Prepare Personnel Information - Section 2D for each Owner, Officer, Partner or Member Listed in Section 2C
SECTION 2D - PERSONNEL INFORMATION - CONTINUED
INSTRUCTIONS
PREPARE IN RESUME FORMAT DESCRIBING THE LAST 5 YEARS OF WORK HISTORY
Beginning with PRESENT OR MOST RECENT employment or volunteer experience and working backward, each owner, officer, manager or member must
list all positions held which are necessary for determining their eligibility as a licensee. List all positions (titles) separately, even if with the same employer.
Clearly describe the work (duties) they personally performed. If additional space is required, attach an 8 1/2" x 11" sheet, using the same format. Continue
the number sequence for additional jobs listed. You must fill out this application completely even if a resume is being attached.
NAME OF APPLICANT
OFFICIAL JOB TITLE (Start with most recent job)
TYPE OF BUSINESS
TITLE OF IMMEDIATE SUPERVISOR
COMPANY NAME AND ADDRESS
DEPARTMENT WHERE ASSIGNED
BUSINESS PHONE NUMBER
EMPLOYED FROM:
EMPLOYED TO:
TOTAL (Yrs., Mos.)
Month
Year
Month
Year
MECHANICAL, SALES, MANAGEMENT EXPERIENCE (In Detail ) AS RELATED TO A DEALER OR REPAIRER LICENSE.
FIRST APPLICANT REFERENCE NUMBER 2
OFFICIAL JOB TITLE (Start with most recent job)
TYPE OF BUSINESS
TITLE OF IMMEDIATE SUPERVISOR
COMPANY NAME AND ADDRESS
BUSINESS PHONE NUMBER
EMPLOYED FROM:
EMPLOYED TO:
TOTAL (Yrs., Mos.)
Month
Year
Month
Year
MECHANICAL, SALES, MANAGEMENT EXPERIENCE (In Detail ) AS RELATED TO A DEALER OR REPAIRER LICENSE.
FIRST APPLICANT REFERENCE NUMBER 3
OFFICIAL JOB TITLE (Start with most recent job)
TYPE OF BUSINESS
TITLE OF IMMEDIATE SUPERVISOR
COMPANY NAME AND ADDRESS
DEPARTMENT WHERE ASSIGNED
BUSINESS PHONE NUMBER
EMPLOYED FROM:
EMPLOYED TO:
TOTAL (Yrs., Mos.)
Month
Year
Month
Year
MECHANICAL, SALES, MANAGEMENT EXPERIENCE (In Detail ) AS RELATED TO A DEALER OR REPAIRER LICENSE.
ATTACH ADDITIONAL PAGES IF NECESSARY
Prepare Personnel Information - Section 2D for each Owner, Officer, Partner or Member Listed in Section 2C
SECTION 2D - PERSONNEL INFORMATION - CONTINUED
INSTRUCTIONS
PREPARE IN RESUME FORMAT DESCRIBING THE LAST 5 YEARS OF WORK HISTORY
Beginning with PRESENT OR MOST RECENT employment or volunteer experience and working backward, each owner, officer, manager or member must
list all positions held which are necessary for determining their eligibility as a licensee. List all positions (titles) separately, even if with the same employer.
Clearly describe the work (duties) they personally performed. If additional space is required, attach an 8 1/2" x 11" sheet, using the same format. Continue
the number sequence for additional jobs listed. You must fill out this application completely even if a resume is being attached.
NAME OF SECOND APPLICANT
OFFICIAL JOB TITLE (Start with most recent job)
TYPE OF BUSINESS
TITLE OF IMMEDIATE SUPERVISOR
COMPANY NAME AND ADDRESS
DEPARTMENT WHERE ASSIGNED
BUSINESS PHONE NUMBER
EMPLOYED FROM:
EMPLOYED TO:
TOTAL (Yrs., Mos.)
Month
Year
Month
Year
MECHANICAL, SALES, MANAGEMENT EXPERIENCE (In Detail ) AS RELATED TO A DEALER OR REPAIRER LICENSE.
SECOND APPLICANT REFERENCE NUMBER 2
OFFICIAL JOB TITLE (Start with most recent job)
TYPE OF BUSINESS
TITLE OF IMMEDIATE SUPERVISOR
COMPANY NAME AND ADDRESS
DEPARTMENT WHERE ASSIGNED
BUSINESS PHONE NUMBER
EMPLOYED FROM:
EMPLOYED TO:
TOTAL (Yrs., Mos.)
Year
Month
Month
Year
MECHANICAL, SALES, MANAGEMENT EXPERIENCE (In Detail ) AS RELATED TO A DEALER OR REPAIRER LICENSE.
SECOND APPLICANT REFERENCE NUMBER 3
OFFICIAL JOB TITLE (Start with most recent job)
TYPE OF BUSINESS
TITLE OF IMMEDIATE SUPERVISOR
COMPANY NAME AND ADDRESS
DEPARTMENT WHERE ASSIGNED
BUSINESS PHONE NUMBER
EMPLOYED FROM:
EMPLOYED TO:
TOTAL (Yrs., Mos.)
Month
Year
Month
Year
MECHANICAL, SALES, MANAGEMENT EXPERIENCE (In Detail ) AS RELATED TO A DEALER OR REPAIRER LICENSE.
ATTACH ADDITIONAL PAGES IF NECESSARY
Prepare Personnel Information - Section 2D for each Owner, Officer, Partner or Member Listed in Section 2C
SECTION 2D - PERSONNEL INFORMATION - CONTINUED
INSTRUCTIONS
PREPARE IN RESUME FORMAT DESCRIBING THE LAST 5 YEARS OF WORK HISTORY
Beginning with PRESENT OR MOST RECENT employment or volunteer experience and working backward, each owner, officer, manager or member must
list all positions held which are necessary for determining their eligibility as a licensee. List all positions (titles) separately, even if with the same employer.
Clearly describe the work (duties) they personally performed. If additional space is required, attach an 8 1/2" x 11" sheet, using the same format. Continue
the number sequence for additional jobs listed. You must fill out this application completely even if a resume is being attached.
NAME OF THIRD APPLICANT
OFFICIAL JOB TITLE (Start with most recent job)
TYPE OF BUSINESS
TITLE OF IMMEDIATE SUPERVISOR
COMPANY NAME AND ADDRESS
DEPARTMENT WHERE ASSIGNED
BUSINESS PHONE NUMBER
EMPLOYED FROM:
EMPLOYED TO:
TOTAL (Yrs., Mos.)
Month
Year
Month
Year
MECHANICAL, SALES, MANAGEMENT EXPERIENCE (In Detail ) AS RELATED TO A DEALER OR REPAIRER LICENSE.
THIRD APPLICANT REFERENCE NUMBER 2
OFFICIAL JOB TITLE (Start with most recent job)
TYPE OF BUSINESS
TITLE OF IMMEDIATE SUPERVISOR
COMPANY NAME AND ADDRESS
DEPARTMENT WHERE ASSIGNED
BUSINESS PHONE NUMBER
EMPLOYED FROM:
EMPLOYED TO:
TOTAL (Yrs., Mos.)
Month
Year
Month
Year
MECHANICAL, SALES, MANAGEMENT EXPERIENCE (In Detail ) AS RELATED TO A DEALER OR REPAIRER LICENSE.
THIRD APPLICANT REFERENCE NUMBER 3
OFFICIAL JOB TITLE (Start with most recent job)
TYPE OF BUSINESS
TITLE OF IMMEDIATE SUPERVISOR
COMPANY NAME AND ADDRESS
DEPARTMENT WHERE ASSIGNED
BUSINESS PHONE NUMBER
EMPLOYED FROM:
EMPLOYED TO:
TOTAL (Yrs., Mos.)
Month
Year
Month
Year
MECHANICAL, SALES, MANAGEMENT EXPERIENCE (In Detail ) AS RELATED TO A DEALER OR REPAIRER LICENSE.
ATTACH ADDITIONAL PAGES IF NECESSARY