INSTRUCTIONS: CONNECTICUT REQUEST FOR PERMISSION TO CONDUCT SPECIAL INTEREST ACTIVITY ON PREMISES OF THE DEPARTMENT (Form LS-5)

To request permission to conduct a special interest activity on the premises of an office of the Connecticut Department of Motor Vehicles, file a form LS-5. This document can be obtained from the website of the government of Connecticut.

Connecticut Request For Permission To Conduct Special Interest Activity On Premises Of The Department LS-5 Step 1: Section 1 concerns the organization making the request. In the first two blank boxes, enter the name of the individual making the request and the date of the request.

Connecticut Request For Permission To Conduct Special Interest Activity On Premises Of The Department LS-5 Step 2: In the next two blank boxes, enter the name of the organization and its telephone number.

Connecticut Request For Permission To Conduct Special Interest Activity On Premises Of The Department LS-5 Step 3: In the next blank box, enter the street address, city, state and zip code of the organization.

Connecticut Request For Permission To Conduct Special Interest Activity On Premises Of The Department LS-5 Step 4: Indicate with a check mark whether the organization is a partnership or an incorporated organization.

Connecticut Request For Permission To Conduct Special Interest Activity On Premises Of The Department LS-5 Step 5: In the next two blank boxes, enter the states in which the organization operates and its IRS status.

Connecticut Request For Permission To Conduct Special Interest Activity On Premises Of The Department LS-5 Step 6: In section 2, provide a description of the proposed activity.

Connecticut Request For Permission To Conduct Special Interest Activity On Premises Of The Department LS-5 Step 7: Section 3 concerns the location. Enter the location requested in the first column, the date on which you are requesting use of this location in the second column, and the hours requested in the third column.

Connecticut Request For Permission To Conduct Special Interest Activity On Premises Of The Department LS-5 Step 8: In section 4, provide all information requested about the organization's contact person and individuals involved in the activity.

Connecticut Request For Permission To Conduct Special Interest Activity On Premises Of The Department LS-5 Step 9: Document similar activities previously conducted in section 5. Sign and date section 6 and provide your title.