INSTRUCTIONS: CONNECTICUT APPLICATION FOR WITHHOLDING OF RESIDENT ADDRESS (Form E-224)

Connecticut residents who work in an official capacity for the state use a form E-224 to request that their residential address be withheld from a motor vehicle or vessel license. This document can be obtained from the website of the government of Connecticut.

Connecticut Application For Withholding Of Resident Address E-224 Step 1: Indicate with a check mark whether this application is new, documents a change or if you no longer qualify for withholding of your residential address.

Connecticut Application For Withholding Of Resident Address E-224 Step 2: If this is an application documenting, enter the nature of the change.

Connecticut Application For Withholding Of Resident Address E-224 Step 3: The next section concerns the applicant. Enter the name of your business organization or department in the first blank box.

Connecticut Application For Withholding Of Resident Address E-224 Step 4: Enter your date of birth and business email address in the next two blank boxes.

Connecticut Application For Withholding Of Resident Address E-224 Step 5: Enter the name of the applicant in the next blank box.

Connecticut Application For Withholding Of Resident Address E-224 Step 6: Enter your business telephone number in the next blank box.

Connecticut Application For Withholding Of Resident Address E-224 Step 7: Enter your complete business address in the next two blank boxes.

Connecticut Application For Withholding Of Resident Address E-224 Step 8: Enter your official title and home phone number in the next two blank boxes.

Connecticut Application For Withholding Of Resident Address E-224 Step 9: Enter your residential address in the next blank box.

Connecticut Application For Withholding Of Resident Address E-224 Step 10: Indicate your official status with a check mark.

Connecticut Application For Withholding Of Resident Address E-224 Step 11: The next section should be completed by your supervisor, who should enter their name, title, signature, the date and their phone number.

Connecticut Application For Withholding Of Resident Address E-224 Step 12: In the next section, enter all applicable vehicle registration plate numbers and registration classes. If applicable, also enter your vessel registration number.

Connecticut Application For Withholding Of Resident Address E-224 Step 13: At the bottom of the form, enter your signature, operator license number, employee or badge number and the date.