Form 816 "Order Form" - Connecticut

What Is Form 816?

This is a legal form that was released by the Connecticut Department of Transportation - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the Connecticut Department of Transportation;
  • 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 816 by clicking the link below or browse more documents and templates provided by the Connecticut Department of Transportation.

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Download Form 816 "Order Form" - Connecticut

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STATE OF CONNECTICUT
DEPARTMENT OF TRANSPORTATION
ATTN: DOT Print Shop
2800 Berlin Tpke
Newington, CT 06111
(860) 594-3086
ORDER FORM – Form 816 – SHIPPED ONLY
DATE:
Company Name:
Addressee:
Telephone: (
)
Fax No: (
)
E-Mail:
Street Address:
Dept./Floor:
UPS does not deliver to P.O. Boxes; include full street address where order is to be delivered.
City:
State:
Zip Code:
-
Make Checks payable: Treasurer, State of Connecticut
Form 816 Standard Specifications: $16.00 Each
QTY
Cost
Shipping*
TOTAL
Check Number:
GRAND TOTAL:
* Postage is $4.00 each, but is NOT required on orders using their Federal Express Account.
(See instructions below)
Overnight Service (Federal Express ONLY) Account No:
If using Federal Express, please do not include the cost of shipping. Packages are shipped after payments have been
processed.
Please mail completed form and payment to the above address.
STATE OF CONNECTICUT
DEPARTMENT OF TRANSPORTATION
ATTN: DOT Print Shop
2800 Berlin Tpke
Newington, CT 06111
(860) 594-3086
ORDER FORM – Form 816 – SHIPPED ONLY
DATE:
Company Name:
Addressee:
Telephone: (
)
Fax No: (
)
E-Mail:
Street Address:
Dept./Floor:
UPS does not deliver to P.O. Boxes; include full street address where order is to be delivered.
City:
State:
Zip Code:
-
Make Checks payable: Treasurer, State of Connecticut
Form 816 Standard Specifications: $16.00 Each
QTY
Cost
Shipping*
TOTAL
Check Number:
GRAND TOTAL:
* Postage is $4.00 each, but is NOT required on orders using their Federal Express Account.
(See instructions below)
Overnight Service (Federal Express ONLY) Account No:
If using Federal Express, please do not include the cost of shipping. Packages are shipped after payments have been
processed.
Please mail completed form and payment to the above address.