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CI-1 Rev. 9-14.ofm - CT.gov - ct

CI-1 Rev. 9-14.ofm - CT.gov - ct 2026

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The document outlines the process for individuals in Connecticut to request a renewal or duplicate of their driver license or identification card by mail due to medical conditions. It requires completion of two parts: Part A by the applicant and Part B by a licensed physician, certifying the applicant's inability to appear in person. The document also includes legal provisions regarding physicians' responsibilities in reporting chronic health issues that may affect driving safety.

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Click ‘Get Form’ to open it in the editor.
Begin with Part A, where you will enter your personal information including your name, date of birth, and contact details. Ensure all fields are filled accurately.
Indicate whether you consent to be contacted via email regarding your request by selecting 'Yes' or 'No'.
Sign and date the application at the bottom of Part A, affirming that you cannot appear in person due to a medical condition.
Next, move to Part B which must be completed by a licensed physician. Ensure they provide their details and confirm your medical condition.
The physician should sign and date this section, certifying that you are unable to appear in person.
Once both parts are completed, save the document and print it for mailing to the DMV address provided.

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CI-1 Rev. 9-14.ofm - CT.gov - ct 2026

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