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Official H 108 Connecticut Template in PDF

The H 108 Connecticut form is a crucial document for reporting stolen vehicles in the state of Connecticut. When a vehicle is stolen, the owner must submit this form to the local or state police where the theft occurred. Completing this report is essential not only for law enforcement but also for settling any insurance claims related to the theft.

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Structure

The H 108 Connecticut form serves as a crucial tool for vehicle owners in the state who find themselves in the unfortunate situation of having their vehicle stolen. This report must be filed with the local or state police department where the theft occurred, as mandated by Connecticut General Statutes. Completing the H 108 form not only initiates the official documentation of the theft but is also a necessary step for insurance claims related to the stolen vehicle. The form collects essential information, including the vehicle's make, model, and identification number, as well as details about the theft itself, such as the time and location of the incident. Additionally, it requires the owner's contact information and insurance details, ensuring that all relevant parties are informed and can take appropriate action. Filing this report accurately and promptly is vital, as providing false information can lead to significant penalties. Understanding the importance of the H 108 form can empower vehicle owners to navigate the aftermath of a theft more effectively, safeguarding their rights and interests during a challenging time.

H 108 Connecticut Example

STOLEN VEHICLE REPORT	STATE OF CONNECTICUT
H-108 REV. 8-2001	DEPARTMENT OF MOTOR VEHICLES
	On The Web At http://dmvct.org

INSTRUCTIONS: The owner of any motor vehicle stolen in this state must make a report in writing to the office of the local or State Police in the municipality in which the theft occurred. (C.G.S. 14-151a(a)). The filing of this report in accordance with the above, is required by C.G.S. 14-151a(b) prior to settlement of any insurance claim.

NOTICE: A person who knowingly makes a false report of the theft of a motor vehicle to a Police Officer shall be fined five hundred dollars or imprisoned for not more than six months or both in accordance with Section 14-198 of the Connecticut General Statutes.

P.D.

USE

ONLY

CASE NUMBER

NCIC NUMBER

I hereby report to the following Police Department			NAME OF POLICE DEPARTMENT		DATE REPORTED
I hereby report to the following Police Department
that the vehicle described below was stolen.
	YEAR	MAKE	MODEL	BODY STYLE	COLOR(S)

VEHICLE

MARKER PLATE NUMBER

VEHICLE REGISTERED? IF YES, IN WHAT STATE? VEHICLE IDENTIFICATION NUMBER

INFORMATION

YES

ESTIMATED VALUE OF VEHICLE

WERE DOORS LOCKED?

WERE KEYS IN VEHICLE?

NAME OF INSURANCE COMPANY

YES

NAME OF OWNER

TELEPHONE NUMBER

OWNER

ADDRESS

INFORMATION

WILL OWNER OR PERSON IN CUSTODY OF VEHICLE BE AVAILABLE FOR COURT?

YES

DATE VEHICLE STOLEN

DAY OF WEEK

TIME

LOCATION STOLEN FROM (Street,, etc.)

INCIDENT

A.M.

P.M.

INFORMATION REPORTED STOLEN BY (Name)

ADDRESS

TELEPHONE NUMBER

SIGNATURE (Person filling out report)

DATE SIGNED

SIGNATURE X

DO NOT WRITE BELOW THIS LINE - POLICE DEPARTMENT USE ONLY

REPORT TAKEN BY (Name of Officer)

BADGE NUMBER

POLICE DEPARTMENT

POLICE DEPARTMENT NAME

Local

State

DATE REPORT FILED

TIME FILED (Military)

NCIC ENTERED

TIME ENTERED (Military)

NCIC OPERATOR

OFFICER'S

ADDITIONAL INFORMATION (Continue on back if necessary)

REPORT

DATE OF RECOVERY

TIME (Military)

RECOVERY LOCATION

NAME OF RECOVERY OFFICER

WAS VEHICLE TOWED?

IF YES, BY WHOM (Name and address)

WHO AUTHORIZED TOW?

YES

WAS ARREST MADE?

WAS OWNER NOTIFIED?

DATE OWNER NOTIFIED

TIME NOTIFIED (Military)

NOTIFYING OFFICER (Name)

RECOVERY

YES

REPORT

WAS NCIC CANCELED?

DATE CANCELED

TIME CANCELED (Military)

NCIC OPERATOR

YES

NAME AND ADDRESS OF PERSON CLAIMING VEHICLE

LICENSE NUMBER (State and Number)

SIGNATURE OF PERSON CLAIMING VEHICLE

DATE SIGNED

PARTS

MISSING

DAMAGED

SECTIONS

MISSING

DAMAGED

LOCKS

DAMAGED

BURNED

YES

(x)

TIRES

FRONT

IGNITION

MOTOR COMP.

ENGINE

R. SIDE

DOOR

PASS. COMP.

CONDITION

TRANS.

L. SIDE

TRUNK

TRUNK COMP.

INS. PANEL

REAR

GAS CAP

TOTAL

RECOVERY

SEATS

HOOD

RADIO

FIRE DEPT. RESPONSE

DRIVEABLE

DISTRIBUTION: Part 1- State or Local Police Part 2 - Individual Making Complaint

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Document Specifications

Fact Name	Description
Form Title	H-108 Stolen Vehicle Report
Governing Law	C.G.S. 14-151a(a) requires vehicle owners to report stolen vehicles to local or State Police.
Insurance Requirement	Filing the report is necessary under C.G.S. 14-151a(b) before settling any insurance claims.
False Report Penalty	Making a false report can result in a fine of $500 or imprisonment for up to six months (C.G.S. 14-198).
Reporting Authority	The report must be submitted to the local or State Police department where the theft occurred.
Vehicle Identification	Essential details include the vehicle's make, model, year, color, and VIN.
Owner's Information	The report requires the owner's name, address, and contact number for follow-up.
Recovery Process	Details about the recovery of the vehicle must be documented, including the officer's information.
Distribution of Report	The form has two parts: one for the police and one for the individual making the complaint.

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