Form B-58 Change of Address and Organ/Tissue Donor Status
114.pdf |
INSTRUCTIONS: CONNECTICUT CHANGE OF ADDRESS AND ORGAN/TISSUE DONOR STATUS (Form B-58)
To document a change of address or in your status as an organ or tissue donor on your Connecticut operator's license or related ID, use a form B-58. This document can be obtained from the website of the government of connecticut.
Connecticut Change Of Address And Organ/Tissue Donor Status B-58 Step 1: Indicate with a check mark whether the changes apply to an operator's license or non-driver ID, motor vehicle registration or vessel registration.
Connecticut Change Of Address And Organ/Tissue Donor Status B-58 Step 2: Indicate with a check mark whether you are consenting to organ and tissue donation and wish to be in the donor registry or if you no longer wish to be in the donor registry.
Connecticut Change Of Address And Organ/Tissue Donor Status B-58 Step 3: Check the box where indicated if a change of address is being documented but not for voter registration purposes.
Connecticut Change Of Address And Organ/Tissue Donor Status B-58 Step 4: In the first blank box, enter your last name, first name and middle initial.
Connecticut Change Of Address And Organ/Tissue Donor Status B-58 Step 5: If two joint owners of a vehicle are applying, the second applicant may enter their last name, first name and middle initial in the second blank box.
Connecticut Change Of Address And Organ/Tissue Donor Status B-58 Step 6: Enter your mailing address in the third blank box.
Connecticut Change Of Address And Organ/Tissue Donor Status B-58 Step 7: If your residential address is different from your mailing address, enter it in the fourth blank box.
Connecticut Change Of Address And Organ/Tissue Donor Status B-58 Step 8: In the fifth blank box, enter the name of the Connecticut town which the vehicle most frequently returns to, remains in or leaves from in the normal course of operation.
Connecticut Change Of Address And Organ/Tissue Donor Status B-58 Step 9: Enter your signature and the date in the sixth blank box. If filing jointly, the other applicant should enter their signature and the date in the seventh blank box.
Connecticut Change Of Address And Organ/Tissue Donor Status B-58 Step 10: Enter your operator's license or non-driver ID number where indicated, as well as your vessel information (if applicable) and registration information.