Form B-214 Impairment Certificate (Hearing) - Connecticut

Form B-214 Impairment Certificate (Hearing) - Connecticut

What Is Form B-214?

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

FAQ

Q: What is Form B-214?
A: Form B-214 is an Impairment Certificate specifically for hearing impairments in the state of Connecticut.

Q: Who needs to use Form B-214?
A: Form B-214 is used by individuals who have a hearing impairment and need to provide documentation of their impairment.

Q: What is the purpose of Form B-214?
A: Form B-214 is used to certify a person's hearing impairment and is often required when applying for certain benefits or accommodations.

Q: What information is required on Form B-214?
A: Form B-214 requires information such as the applicant's personal details, the type and severity of the hearing impairment, and the name of the certifying professional.

Q: Can I use Form B-214 for other types of impairments?
A: No, Form B-214 is specifically for hearing impairments. Other types of impairments may require different forms or documentation.

Q: How long is Form B-214 valid?
A: Form B-214 is typically valid for a certain period of time, as specified by the certifying professional. It is important to check the expiration date on the form.

Q: What should I do if I need an updated Form B-214?
A: If your Form B-214 has expired or needs an update, you should contact the certifying professional or the Connecticut DMV to inquire about the renewal process.

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Form Details:

  • Released on October 1, 1983;
  • The latest edition provided by the Connecticut Department of Motor Vehicles;
  • 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 B-214 by clicking the link below or browse more documents and templates provided by the Connecticut Department of Motor Vehicles.

Download Form B-214 Impairment Certificate (Hearing) - Connecticut

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