Application for special operator's permit

(a) Application for a work permit shall be made by the operator on a form approved by the commissioner. Such form may be obtained from the department, and shall contain information required by the commissioner including the following: (1) Applicant's name; (2) Applicant's residence and mailing addresses; (3) Applicant's operator's license number and date of birth; (4) Applicant's employer and place of employment including a business telephone number where his or her employment can be verified; (5) Applicant's occupation or a description of his or her duties; (6) Applicant's hours of employment; (7) The approximate distance from applicant's present residence to his or her place of employment; (8) If applicant's place of employment and/or hours of employment are not fixed, an explanation of his or her duties and normal work schedule; (9) A statement indicating whether any public or alternative form of transportation, such as a car pool or vanpool, is available between the applicant's residence and place of employment, and, if not, what efforts have been made to secure other transportation; (10) An explanation of the significant hardship that would occur if a work permit is not issued; (11) The name, signature and phone number of the person's employer or of a person who can verify his or her employment schedule; and (12) The signature of the applicant together with a statement that the application, its attachments, and the statements therein are made under penalty of false statement as provided in sections 14-110 and 53a-157b of the Connecticut General Statutes. If the applicant has more than one employer, such information shall pertain to each employer. (b) Application for an education permit shall be made by the operator on a form approved by the commissioner. Such form may be obtained from the department, and shall contain information required by the commissioner, including the following: (1) Applicant's name; (2) Applicant's student identification number; (3) Applicant's permanent residence and mailing addresses as well as any non-permanent address that may be applicable relative to the applicant's status as a student; (4) Applicant's operator's license number and date of birth; (5) The name and address of the institution of higher education at which the applicant is enrolled in classes or other required educational activities; (6) The name of the registrar and a telephone number where the applicant's enrollment and schedule can be verified; (7) A certified copy of the applicant's schedule of classes or other required educational activities along with a fully executed release allowing such records to be provided to and confirmed by the Department; (8) The approximate distance from applicant's present residence to the location(s) where classes or other required educational activities are conducted; (9) The starting and ending dates of the applicant's classes or other required educational activities; (10) A statement indicating whether any public or alternative form of transportation, such as a car pool or vanpool, is available between the applicant's residence and the location of his or her classes or other required educational activities, and, if not, what efforts have been made to secure other transportation; (11) An explanation of the significant hardship that would occur if an education permit is not issued; and (12) The signature of the applicant together with a statement that the application, its attachments, and the statements therein are made under penalty of false statement as provided in sections 14-110 and 53a-157b of the Connecticut General Statutes. If the applicant is enrolled in more than one institution of higher education, such information shall pertain to each such institution. (c) In addition to the requirements of subsection (a) or (b) of this section, a person licensed in another state or country, whose nonresident operating privilege is under suspension in this state, shall present to the commissioner, with his or her application for a special operator's permit a recent certified driving history from his or her licensing state or country showing that he or she possesses a current, valid operator's license issued by such state or country, and listing any violations of motor vehicle laws or regulations. A license and driving history issued in a language other than English must be accompanied by an English translation of the information contained in each document. Said translation must be signed by the translator under penalty of false statement as provided in sections 14-110 and 53a-157b of the Connecticut General Statutes. A nonresident to whom a special operator's permit is issued shall inform the commissioner of any subsequent motor vehicle violations, suspensions, infractions or administrative actions in any state or country subsequent to the date of the certified driving history. The commissioner may require such nonresident to submit, at intervals to be determined in the sole discretion of the commissioner, an updated driving history or similar documentation showing the status of his or her operator's license in his or her licensing state or country. (d) The application shall state thereon the penalties that could be incurred if a person is granted a special operator's permit and is found to be operating a vehicle for a purpose other than authorized, or for misuse of such permit. (e) The completed application form and the information required pursuant to subsection (a) or (b), as applicable, shall be mailed or delivered to the Operator Control Section of the Department of Motor Vehicles. No copy of an application form without original signatures shall be accepted. No application shall be accepted by the department until the date of the suspension of the person's motor vehicle operator's license or nonresident operating privilege is determined.