Form P244 template
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Affidavit to report a driver who may Be unable to safely operate a motor vehicle
This document is an Affidavit form from the Connecticut Department of Motor Vehicles (DMV). The form is used to report individuals who may be unable to safely operate a motor vehicle due to a medical condition. The person filing the affidavit must provide their name, relationship with the operator being reported (if any), and a description of incidents leading to the concern. They must also indicate whether they are aware of any medical conditions that could impact the operator's ability to drive safely and swear under penalty of false statement that the information provided is true.
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