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STATE OF CONNECTICUT
DEPARTMENT OF PUBLIC HEALTH
Office of Emergency Medical ServicesEMERGENCY VEHICLE ADD SHORT FORM APPLICATION
INSTRUCTIONS
This application is to be completed fully by the applicant.
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How to fill out emergency vehicle short-form application

How to fill out emergency vehicle short-form application
01
To fill out the emergency vehicle short-form application, follow these steps:
02
Begin by providing your personal information such as name, address, contact number, and email address.
03
Indicate the purpose of the application, specifically stating that it is for an emergency vehicle.
04
Provide detailed information about the emergency vehicle, including make, model, year, and vehicle identification number (VIN).
05
Attach any relevant documents such as vehicle registration, proof of insurance, and previous inspection reports.
06
Clearly state the emergency services or organization that will be utilizing the vehicle and the intended use.
07
Indicate any special features or modifications on the vehicle that are specifically designed for emergency response purposes.
08
Sign and date the application form, affirming the accuracy of the information provided.
09
Submit the filled-out application either in person or through the designated submission method indicated by the organization or agency responsible for processing the applications.
Who needs emergency vehicle short-form application?
01
Emergency vehicle short-form application is required by individuals or organizations that need to register or obtain approval for emergency vehicles. This may include firefighting departments, police departments, ambulance services, search and rescue teams, and other emergency response organizations.
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What is emergency vehicle short-form application?
Emergency vehicle short-form application is a streamlined application process for emergency vehicles to receive necessary permits or exemptions.
Who is required to file emergency vehicle short-form application?
Emergency vehicle operators or owners are required to file the short-form application.
How to fill out emergency vehicle short-form application?
The application can be filled out online or by submitting a paper form with required information and documentation.
What is the purpose of emergency vehicle short-form application?
The purpose of the application is to ensure that emergency vehicles are properly permitted and exempt from certain regulations for emergency situations.
What information must be reported on emergency vehicle short-form application?
Information such as vehicle details, operator information, emergency contact details, and proof of emergency use authorization must be reported on the application.
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