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For Official Use OnlyInactivationIndividual 2/17STATE OF CONNECTICUTDEPARTMENT OF CONSUMER PROTECTION License Services Division 450 Columbus Blvd, Ste. 801 Hartford, CT 06103 Email: DCP.license services
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How to fill out inactivation request formindividual license

01
To fill out the inactivation request form for an individual license, follow these steps:
02
Obtain a copy of the inactivation request form from the appropriate licensing authority.
03
Read the instructions provided with the form carefully to understand the required information.
04
Gather all the necessary documents and information needed to complete the form, such as your license details, personal identification, and any supporting documentation.
05
Fill in the form accurately and legibly. Provide all the requested information, including your full name, license number, contact details, and the reason for inactivation.
06
Attach any required documents or supporting evidence as specified in the instructions.
07
Double-check the form for any errors or missing information.
08
Submit the completed and signed form by mail or through the online submission portal, as instructed by the licensing authority.
09
Follow up with the licensing authority to ensure the form is received and processed.
10
Await confirmation from the licensing authority regarding the status of your inactivation request.
11
If necessary, comply with any additional requests or follow-up actions from the licensing authority to complete the inactivation process.

Who needs inactivation request formindividual license?

01
The inactivation request form for an individual license is needed by individuals who wish to temporarily or permanently deactivate their license. This may include professionals who are taking a break from their practice, retiring, relocating, or facing other circumstances that require their license to be inactive.
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The inactivation request formindividual license is a form used to request the deactivation or temporary suspension of an individual license.
Individuals who wish to temporarily suspend or deactivate their license are required to file the inactivation request formindividual license.
To fill out the inactivation request formindividual license, individuals need to provide their personal information, license details, reason for inactivation, and any supporting documents.
The purpose of the inactivation request formindividual license is to allow individuals to temporarily suspend or deactivate their license for a specific period of time.
The inactivation request formindividual license requires individuals to report their personal information, license details, reason for inactivation, and any supporting documents.
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