CT DMV Form P244. Affidavit to report a driver who may be unable to safely operate a motor vehicle

Form P142ER - Hospital ER Physician's Impaired Driver Report serves as a report filed by hospital emergency room (ER) physicians to report instances of impaired drivers who were treated in the ER. This form is used to alert the DMV about individuals who may pose a danger on the road due to impairment.

Hospital ER physicians in Connecticut use this form to report incidents involving impaired drivers who sought medical attention in the ER. The form helps authorities take appropriate actions to address the potential danger posed by these individuals on the road.

Form Structure

This form involves hospital ER physicians, the Connecticut DMV, and the reporting of impaired drivers. It's structured with sections that gather information about the impaired driver, the circumstances, and the medical evaluation conducted.

How to Fill Out and Submit the Form

Hospital ER physicians complete the form with details about the impaired driver's condition, the nature of the impairment, and any relevant observations. Once completed, the form is submitted to the DMV, which reviews the information and takes appropriate actions to ensure road safety.

Related forms might include reports filed by law enforcement or medical professionals in other scenarios involving driver impairment.