Fillable Form Connecticut Drivers License Replacement Form 1-B

What is the Connecticut Drivers License Replacement Form 1-B?

The Connecticut Drivers License Replacement Form 1-B is a legal form from the Connecticut Department of Motor Vehicles used for applying for a duplicate or replacement of current permit,driver’s license, or ID Card.

How to fill out Connecticut Drivers License Replacement Form 1-B?

Application For
Select the type of permit, license, or identification card you are applying for.

• If you are below 18 years old and are applying for a driver’s license, select Learner’s Permit.
• If you are applying for a Driver’s License, select Driver’s License.
• If you are applying for a license to drive large trucks, buses, and vehicles hauling hazardous materials, select Commercial Driver’s License.
• If you are below 18 years old and applying for a license to drive a motorcycle, select Motorcycle Learner’s Permit.
• If you are below 18 years old and applying for a license to drive large trucks, buses, and vehicles hauling hazardous materials, select Commercial Learner’s Permit.
• If applying for a non-driver identification card, select Non-driver Identification Card.
• If you want to reprint or duplicate your permit, license, or identification card, select Reprint Temporary. Then, select whether you want a Learner’s Permit, License, or ID reprint.

Reason for Duplicate/Reprint
Select the reason for duplication or reprinting (lost, stolen, or destroyed).

Height of Operator
Provide the height of the operator in feet and inches on the space provided.

Operator’s Name
Enter the whole name of the operator.

Date of Birth
Enter the date of birth of the operator.

Resident Address
Provide the residential address of the operator including the No & Street, City or Town, State, and Zip Code.

Former Name/Address if recently changed
If the operator recently changed name or address, provide the former name or address on the space provided.

Signature of Operator
Once the form is completed, provide the operator’s signature.

Date Signed
Enter the date the form was signed and completed.

Submission

For replacement of a lost, damaged, or stolen driver's license, permit, or ID card, you'll need to apply in person and submit this form at your local Connecticut DMV office.

Tips:
If you are applying for a driver's license, permit, or ID Card for the first time, you may find information at the State of Connecticut Department of Motor Vehicles website.