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The Connecticut A 62 form plays a crucial role for individuals seeking limited driving privileges during a suspension. This application is specifically designed for those who need to operate a motor vehicle solely to commute to and from work, addressing a significant need for employment-related transportation. Applicants must provide detailed personal information, including their name, date of birth, and current residential address, alongside their employer's name and contact details. A $100 non-refundable application fee is required, which underscores the seriousness of the application process. The form mandates that individuals clearly outline their work schedule, ensuring that commuting does not exceed a continuous 12-hour period each day. Furthermore, applicants are required to articulate the hardships they would face without the permit and to confirm their attempts to find alternative transportation. Importantly, only certain types of vehicles may be operated under this permit, as those needing a commercial driver's license (CDL) or used for public passenger transport are explicitly excluded. The form also underscores the legal ramifications of misuse, emphasizing the potential penalties for operating outside authorized hours or for providing false information. In this way, the Connecticut A 62 form balances the need for employment access with accountability, ensuring that applicants adhere to the stipulations set by the state’s Department of Motor Vehicles.

Form Sample

STATE OF CONNECTICUT
DEPARTMENT OF MOTOR VEHICLES
DRIVER SERVICES DIVISION
60 STATE STREET, WETHERSFIELD, CT 06161-2530
TELEPHONE: (860) 263-5720 On The Web At ct.gov/dmv

APPLICATION FOR SPECIAL PERMIT TO

OPERATE A MOTOR VEHICLE TO AND FROM WORK

A-62 REV. 4-2010

INSTRUCTIONS:

1. Please print or type.

2. Multiple employment requires separate applications.

3. A $100.00 non-refundable application fee in the form of a check or money order payable to DMV must accompany each request for a permit.

Operation of motor vehicles requiring a CDL or used for Public Passenger Transportation is PROHIBITED under the Special Permit Program

YOUR OFFICIAL DRIVING RECORD WILL BE REVIEWED AS PART OF THIS APPLICATION.

NAME OF APPLICANT (Last, First, Middle)

DATE OF BIRTH

OPERATOR LICENSE NUMBER/STATE

SEX

M

F

MAILING ADDRESS

(Number and Street)

(City or Town)

(State)

(Zip Code)

 

 

 

 

 

RESIDENCE ADDRESS (If different)

(Number and Street)

(City or Town)

(State)

(Zip Code)

NAME OF EMPLOYER (If self-employed, include business name and legal proof of self-employment)

ADDRESS OF EMPLOYER

(Number and Street)

(City or Town)

(State)

(Zip Code)

OCCUPATION

HOME TELEPHONE NUMBER

( )

DAYS AND HOURS OF EMPLOYMENT (Specify A.M. or P.M.)

TO BE ISSUED A WORK PERMIT, YOUR SCHEDULE MUST BE CLEARLY IDENTIFIED, AND

MON.

TUE.

THU.

FRI.

SAT.

MAY NOT EXCEED A CONTINUOUS 12-HOUR PERIOD PER DAY.

IF YOU HAVE MORE THAN ONE PLACE OF

EMPLOYMENT, EACH EMPLOYER MUST

WED.SUN.

COMPLETE A SEPARATE APPLICATION.

What is the distance and the commuting time from your residence to your place of employment?

Is public transportation available

 

 

 

from your residence to your

YES

NO

 

place of employment?

 

 

 

What significant hardship(s) will you suffer without a Special Operator's Permit?

 

 

What efforts have you made to obtain other transportation?

INABILITY TO CONFIRM YOUR EMPLOYMENT MAY RESULT IN DENIAL OF YOUR SPECIAL OPERATOR'S PERMIT.

PRINTED NAME OF SUPERVISOR

SIGNATURE OF SUPERVISOR

X

PRINTED JOB TITLE OF SUPERVISOR

WORK TELEPHONE

( )

NOTICE:

OATH:

Your operator's license is under suspension. If you operate any vehicle outside of the authorized hours, you may be subject to arrest. If you operate a motor vehicle for a purpose not authorized by law, a police officer may make a report to the Commissioner of Motor Vehicles and you will be subject to a civil penalty of up to $500. If your operator's license is suspended for another reason while you are in possession of this permit, the permit is revoked, and if you thereafter operate a motor vehicle you will be subject to double the penalties imposed by law. If you alter or make improper use of the permit, you will be subject to criminal penalties.

I swear or affirm under penalty of false statement in accordance with Connecticut General Statute 53a-157, and subject to penalties for perjury for a deliberate false statement, that the above information and any attachment hereto is true and correct.

PRINTED NAME OF APPLICANT

SIGNATURE OF APPLICANT

DATE SIGNED

X

DMV USE ONLY

PERMIT:

APPROVED

DENIED

DATE PERMIT ISSUED

(If Approved)

PERMIT VALID UNTIL (If Approved)

REASON FOR DENIAL

DRIVING HISTORY

NO SIGNIFICANT HARDSHIP

INELIGIBLE

OTHER (Provide Details)

AUTHORIZED SIGNATURE (DMV)

X

PRINTED NAME

DATE SIGNED

Document Specifications

Fact Name Details
Form Title Application for Special Permit to Operate a Motor Vehicle to and from Work A-62
Governing Law Connecticut General Statutes § 14-37a & § 14-37b
Application Fee The fee is $100.00 and is non-refundable.
Eligibility This permit is not available for vehicles requiring a Commercial Driver's License (CDL).
Employment Verification Verification of employment is necessary; inability to confirm may lead to denial.
Hours of Operation Daily work hours may not exceed a continuous 12-hour period.
Public Transport Applicants must indicate if public transportation is available for their commute.
Application Process Multiple employers require separate applications for each employment.
Penalties Operating outside authorized hours can result in arrest; penalties for false statements apply.

Steps to Filling Out Connecticut A 62

Completing the Connecticut A 62 form is an essential step towards obtaining a special permit to operate a motor vehicle for work-related purposes. Ensuring accuracy in your application is crucial to avoid delays or denials. Follow these steps to fill out the form correctly.

  1. Obtain the Form: Download or request a copy of the Connecticut A 62 form from the DMV website or office.
  2. Print or Type: Ensure to print or type your information clearly to avoid any misunderstandings.
  3. Fill in Personal Information: Provide your full name (last, first, middle), date of birth, and operator license number along with the state of issuance.
  4. Select Your Gender: Mark the appropriate box for male or female.
  5. Input Mailing Address: Write your complete mailing address, including the number and street, city or town, state, and zip code.
  6. Include Residence Address: If your residence address differs from your mailing address, fill in that information as well.
  7. Employer Information: Fill in the name and address of your employer. If self-employed, include your business name and legal proof of self-employment.
  8. Occupation: Clearly state your occupation.
  9. Home Telephone Number: Provide a reachable home telephone number.
  10. Days and Hours of Employment: Specify your work schedule, ensuring clarity on AM or PM times.
  11. Distance and Commuting Time: Indicate the distance and the commuting time from your home to your job site.
  12. Public Transportation Availability: Answer whether public transportation is available to your workplace.
  13. Hardship Explanation: Describe any significant hardships you would face without the special operator's permit.
  14. Transportation Efforts: Detail any steps you have taken to secure alternative transportation.
  15. Supervisor Information: Provide the printed name, job title, and contact number of your supervisor, who must also sign the form.
  16. Oath Statement: Read the oath carefully. By signing, you affirm that all information is true and accurate.
  17. Sign and Date: The applicant must sign and date the application to confirm the accuracy of provided information.
  18. Submit with Fee: Include a non-refundable fee of $100 in the form of a check or money order made out to the DMV and submit your completed form to the DMV.

More About Connecticut A 62

What is the purpose of the Connecticut A 62 form?

The Connecticut A 62 form is an application for a special permit that allows individuals with a suspended operator's license to operate a motor vehicle specifically for commuting to and from work. This form is essential for individuals seeking to regain limited driving privileges while adhering to the conditions set by the Connecticut Department of Motor Vehicles (DMV).

What are the eligibility requirements to apply for a special permit?

To be eligible for a special permit, applicants must have a suspended operator's license. The permit is intended solely for commuting purposes to work. Additionally, the applicant must demonstrate that a significant hardship exists without access to a vehicle and outline efforts made to seek alternative transportation. Each employer must complete a separate application if the individual works multiple jobs.

How much does it cost to apply for the permit?

The application requires a non-refundable fee of $100. This fee must be submitted in the form of a check or money order made payable to the DMV. It is crucial to include this payment when submitting the application to avoid delays or denial.

What information is required on the A 62 form?

The A 62 form requires the applicant's personal details, such as their name, date of birth, operator license number, and both the mailing and residence addresses. Furthermore, the form asks for details about the employer, including the name, address, and contact information, as well as specifics about the applicant's work schedule and the commuting distance and time. Applicants must also describe any hardships faced due to the current suspension.

What could lead to denial of the special operator's permit?

Several factors could contribute to the denial of a special operator's permit. The DMV may deny the application if the applicant does not provide enough evidence of a significant hardship or fails to confirm their employment status. Additionally, if the applicant's driving history indicates that they do not meet eligibility criteria or if they are found ineligible for any other reason, the application may be rejected.

What are the potential consequences for misusing the special permit?

Misusing the special permit can lead to serious legal consequences. Operating a vehicle outside of the authorized hours can result in arrest. If the permit holder engages in driving unrelated to the permitted purposes, they may face a civil penalty of up to $500. Furthermore, any alterations or improper use of the permit could result in criminal penalties, highlighting the importance of adhering strictly to the permit's regulations.

Common mistakes

  1. Neglecting to Provide Accurate Information: One of the most common mistakes is failing to input correct personal details such as the name, date of birth, or operator license number. Any inaccuracies can lead to delays or even denial of the permit application.

  2. Not Following Employer Verification Guidelines: If self-employed, applicants often forget to include acceptable proof of their self-employment. This documentation is essential for confirming employment and may result in a denied application if not provided.

  3. Inadequate Communication of Employment Schedule: Clearly identifying the days and hours of employment is crucial. Failure to specify this information can lead to confusion and may result in the application being denied. Ensure that the full work schedule is detailed.

  4. Misinterpreting the Transportation Questions: Applicants sometimes answer the transportation availability questions incorrectly. Responses must accurately reflect whether public transportation is accessible from the residence to the place of employment, as this impacts the application process significantly.

  5. Omitting Required Signatures: An often-overlooked aspect is the need for supervisor signatures. The supervisor’s printed name and signature must be included to confirm employment, or else the application could be rejected.

Documents used along the form

When applying for the Connecticut A 62 form, there are several other forms and documents that may be necessary or useful in conjunction with your application. Here’s a list of these documents along with brief descriptions for each one. Understanding their roles can make the process smoother and help ensure your application is complete.

  • Employer Verification Form: A document confirming your employment status and job details provided by your employer. This can help substantiate your need for a special permit.
  • Proof of Residence: Often in the form of a utility bill or lease agreement, this document provides proof of your current address, which is crucial for verifying your commuting distance.
  • Driving History Report: A record of your driving history that may be required by the DMV to assess your eligibility. It helps verify any prior restrictions or infractions.
  • Hardship Letter: A narrative letter detailing the specific hardships you face due to your suspended license. This can support your need for the special permit.
  • Application for Reinstatement: In cases where additional documentation is needed for reinstating your license, this application outlines the reasons for reinstatement.
  • Identification Documents: A current photo ID, such as a passport or state ID, verifying your identity and supporting your application.
  • Financial Statement: A document detailing your financial situation, which can help establish the economic hardship caused by your inability to drive legally.
  • Transportation Alternatives Documentation: A record showing efforts made to find alternative transportation methods, which may include bus schedules or rideshare options.
  • Legal Notices or Orders: Any official communications pertaining to your license suspension, which provide context for your application.
  • DMV Fee Payment Receipt: Proof of payment for any associated fees, typically required alongside your A 62 application.

Gathering and preparing these documents alongside your Connecticut A 62 form can help create a stronger case for your special permit application. Ensure that all forms are completed accurately, and keep copies for your records. This will not only facilitate the review process but may also expedite a decision on your request.

Similar forms

The Connecticut A 62 form is a critical document for individuals seeking permission to operate a motor vehicle to commute to work while their driving privileges are suspended. A similar document is the “Occupational Driver’s License” form, which also provides a way for drivers to maintain their employment by allowing limited driving privileges. Like the A 62, the Occupational Driver’s License typically requires proof of employment and may include specifics about permitted driving hours and purposes, ensuring that individuals can fulfill work obligations without being impeded by their suspension status.

Another comparable form is the “Restricted License Application.” This document similarly grants limited driving privileges, often permitting individuals to drive for essential purposes, such as work or school. Both applications require thorough details about the applicant’s employment and their commuting necessities. The emphasis on verifying employment and hardships distinguishes it from general license applications, addressing unique situations like suspensions where routine driving is not permissible.

The “Temporary Permit Application” is also relevant here. This application can be used by those who need immediate, short-term driving privileges under specific situations. Its focus is on temporary needs, much like the A 62, which provides a solution for commuting to work while a driving license is suspended. Applicants must demonstrate the necessity of driving, and similar to the A 62, it also may require an application fee and evidence of hardship.

Additionally, the “Employer-Provided Transportation Verification Form” shares similarities with the A 62 form. This document often accompanies applications for special permits and requires employers to affirm an employee's work schedule. The key element is the validation of employment status, which is crucial for both forms, emphasizing the relationship between one’s employment and their ability to obtain driving privileges despite a suspension.

The “Proof of Employment Affidavit” acts as another parallel document, requesting similar information to justify the need for special driving privileges. This affidavit must be signed by the employer, detailing the applicant's hours and the nature of their job. Both the affidavit and the A 62 form focus on the critical need to prove that driving is necessary to maintain employment during a suspension.

Finally, the “Application for Special Exception License” is akin to the A 62 in that it permits temporary driving under special circumstances. This application generally deals with unique situations requiring extraordinary justifications, much like the A 62’s focus on hardship. It reflects the state’s understanding that certain situations merit flexibility for individuals to continue their employment, thus facilitating their ability to support themselves and their families.

Dos and Don'ts

When filling out the Connecticut A 62 form, consider the following guidelines:

  • Ensure that you print or type all information clearly to avoid misunderstandings.
  • Attach a check or money order for the non-refundable application fee of $100.00.
  • Provide accurate details about your employer and the required commuting information.
  • Clearly list your work schedule and specify the days and hours of employment.
  • Sign the application to confirm that all details are true and correct.

Conversely, here are some things you should not do:

  • Do not submit multiple applications from the same employer without a valid reason.
  • Avoid providing incomplete information, as it may lead to application denial.
  • Do not ignore the importance of confirming your employment; it is crucial for approval.
  • Never forget to include the appropriate contact information for your supervisor.
  • Do not operate a vehicle outside of authorized hours; doing so could lead to serious penalties.

Misconceptions

There are several misconceptions surrounding the Connecticut A 62 form. It's important to clarify these in order to avoid confusion and ensure a smoother application process. Here are seven common misunderstandings:

  • The A 62 form is only for people with suspended licenses. While the form is commonly sought by those with suspended licenses, it is intended for anyone who needs to operate a vehicle for work purposes, subject to specific conditions.
  • Anyone can obtain a special permit without restrictions. This is incorrect. The application requires proof of employment and a demonstration of significant hardship without access to transportation.
  • You do not need to provide proof of employment. This is a major misconception. The form explicitly states that a supervisor’s signature and contact information are necessary to confirm your employment status.
  • Public transportation eligibility does not matter. In reality, applicants must disclose whether public transportation options are available. This may impact the approval of the special permit.
  • The permit allows for unlimited driving hours. This is misleading. There are strict limits on the hours and duration of operation, ensuring that no one exceeds a continuous 12-hour period per day.
  • Application fees can be waived. The $100.00 fee is non-refundable and must be paid with each application. There is no provision for waiving this fee.
  • A special permit can be used for any driving purpose. This is a dangerous assumption. The permit restricts use strictly to commuting to and from work and for no other purposes.

Understanding these points can significantly improve your chances of successfully navigating the application process and obtaining the necessary permission to operate a vehicle. Stay informed, and don't hesitate to seek assistance if you find any part of the process unclear.

Key takeaways

  • Applicant Information: Fill out your personal details, including your full name, date of birth, driver's license number, and contact information accurately. This information is crucial for identifying you within the system.
  • Multiple Employment: If you have more than one job, you must complete separate A-62 forms for each employer. Make sure each application includes the relevant details about the specific job.
  • Application Fee: A non-refundable fee of $100.00 must accompany your application. Payment is accepted in the form of a check or money order, made out to the DMV.
  • Driving Record Review: Your official driving record will be examined as part of the application process. Be prepared to provide any necessary documentation or explanations related to your driving history.
  • Employment Schedule: Clearly specify your days and hours of employment. The permit will only be granted if your schedule is well-defined, with no single day exceeding a continuous 12-hour period.
  • Transportation Availability: Indicate whether public transportation is available from your home to your workplace. This information helps assess your need for the special permit.
  • Hardship Explanation: Detail any significant hardships you would face without the special operator’s permit. Be specific about how this permit would impact your ability to work and fulfill your responsibilities.
  • Supervisor Verification: Your supervisor must print and sign their name on the form, confirming your employment. Failure to provide this verification may result in your application being denied.