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Form R-361 Licensed Dealer/Repairer Inspector's Report for a Public Service Vehicle

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Form Instructions

INSTRUCTIONS: CONNECTICUT PUBLIC SERVICE VEHICLE LICENSED DEALER/REPAIRER INSPECTOR REPORT (Form R-361)

A Connecticut licensed dealer or repairer uses a form R-361 to document their inspection of a service bus or taxicab motor vehicle. This document can be obtained from the website of the government of the state of Connecticut.

Connecticut Public Service Vehicle Licensed Dealer/Repairer Inspector Report R-361 Step 1: Section A must be completed by the vehicle owner. Enter the carrier name in the first blank box.

Connecticut Public Service Vehicle Licensed Dealer/Repairer Inspector Report R-361 Step 2: Enter your phone number in the second blank box.

Connecticut Public Service Vehicle Licensed Dealer/Repairer Inspector Report R-361 Step 3: Enter your street address in the third blank box.

Connecticut Public Service Vehicle Licensed Dealer/Repairer Inspector Report R-361 Step 4: Enter your town or city in the fourth blank box.

Connecticut Public Service Vehicle Licensed Dealer/Repairer Inspector Report R-361 Step 5: Enter your state in the fifth blank box.

Connecticut Public Service Vehicle Licensed Dealer/Repairer Inspector Report R-361 Step 6: Enter your zip code in the sixth blank box.

Connecticut Public Service Vehicle Licensed Dealer/Repairer Inspector Report R-361 Step 7: Enter the marker plate number in the seventh blank box.

Connecticut Public Service Vehicle Licensed Dealer/Repairer Inspector Report R-361 Step 8: In the next four blank boxes, enter the vehicle year, make, model and body style.

Connecticut Public Service Vehicle Licensed Dealer/Repairer Inspector Report R-361 Step 9: Indicate whether the vehicle is a taxi or a service bus with a check mark.

Connecticut Public Service Vehicle Licensed Dealer/Repairer Inspector Report R-361 Step 10: Enter the vehicle identification number, manufacturer's seating capacity and GVWR.

Connecticut Public Service Vehicle Licensed Dealer/Repairer Inspector Report R-361 Step 11: The remainder of the form must be completed by the dealer or repairer. In Section B, they should provide the name of the repairer or garage, the phone number, street address, city, state, zip code, principal, and dealer or repairer license number.

Connecticut Public Service Vehicle Licensed Dealer/Repairer Inspector Report R-361 Step 12: Section C is used to document the results of the inspection.

Connecticut Public Service Vehicle Licensed Dealer/Repairer Inspector Report R-361 Step 13: The dealer or repairer should sign and date Section D.

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