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The H 108 form, officially known as the Stolen Vehicle Report, serves as a crucial tool for vehicle owners in Connecticut who find themselves victims of theft. This document, issued by the Department of Motor Vehicles, requires the owner to provide a detailed account of the stolen vehicle, including essential information such as the year, make, model, and vehicle identification number. Filing this report is not merely a procedural formality; it is mandated by state law under Connecticut General Statutes (C.G.S.) 14-151a. The completion of the H 108 form is a prerequisite for settling any insurance claims related to the theft. Additionally, the form includes sections for reporting the circumstances surrounding the theft, such as the time and location, as well as inquiries regarding the vehicle's security measures at the time of the incident. Importantly, the form also contains a warning about the legal repercussions of filing a false report, underscoring the seriousness with which authorities treat vehicle theft. By ensuring that accurate information is provided, the H 108 form facilitates the police investigation and aids in the recovery of stolen vehicles, while also protecting the rights of the vehicle owner.

Documents used along the form

The H 108 Connecticut form is a crucial document for reporting stolen vehicles. However, several other forms and documents often accompany it during the reporting and insurance claim process. Below is a list of these documents, each serving a specific purpose in the overall procedure.

  • Police Report: This is the official document generated by law enforcement after a stolen vehicle report is filed. It contains details about the incident and is essential for any insurance claims.
  • Real Estate Purchase Agreement: This essential document outlines the terms of a property transaction in Texas and is a crucial step for buyers and sellers. For more information, visit Texas Documents.
  • Insurance Claim Form: This form is submitted to your insurance company to initiate the claim process for a stolen vehicle. It typically requires details about the vehicle and the circumstances of the theft.
  • Proof of Ownership: Documents like the vehicle title or registration serve as proof that you own the vehicle. Insurance companies often require this to process claims.
  • Affidavit of Loss: This sworn statement is sometimes required by insurance companies, confirming that the vehicle has been stolen and providing details of the theft.
  • NCIC Report: The National Crime Information Center report indicates whether the vehicle has been entered into a national database as stolen, which is useful for law enforcement and insurance claims.
  • Recovery Report: If the vehicle is recovered, this report details the circumstances of the recovery, including any damages incurred during the theft.
  • Witness Statements: If there were witnesses to the theft, their statements can be valuable in supporting your claim and may be requested by both police and insurance companies.
  • Vehicle Condition Report: This document outlines the condition of the vehicle before and after the theft. It helps assess damages for insurance purposes.
  • Release of Liability: If the vehicle is recovered and returned to the owner, this document may be signed to release the insurance company from any further claims related to the theft.

Each of these documents plays a vital role in ensuring that the reporting process is thorough and that all necessary information is available for law enforcement and insurance purposes. Being prepared with the right paperwork can streamline the process and help in the recovery of the stolen vehicle.

Preview - H 108 Connecticut Form

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

 

 

 

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

 

 

 

 

 

NO

YES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ESTIMATED VALUE OF VEHICLE

WERE DOORS LOCKED?

WERE KEYS IN VEHICLE?

 

NAME OF INSURANCE COMPANY

 

 

$

 

 

 

 

 

YES

 

 

NO

 

 

YES

NO

 

 

 

 

 

 

 

 

NAME OF OWNER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TELEPHONE NUMBER

OWNER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WAS ARREST MADE?

 

WAS OWNER NOTIFIED?

DATE OWNER NOTIFIED

TIME NOTIFIED (Military)

 

NOTIFYING OFFICER (Name)

 

 

RECOVERY

YES

NO

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REPORT

WAS NCIC CANCELED?

 

DATE CANCELED

 

 

TIME CANCELED (Military)

NCIC OPERATOR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME AND ADDRESS OF PERSON CLAIMING VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LICENSE NUMBER (State and Number)

 

 

 

 

 

SIGNATURE OF PERSON CLAIMING VEHICLE

 

DATE SIGNED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

X

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PARTS

MISSING

 

DAMAGED

SECTIONS

MISSING

DAMAGED

LOCKS

 

DAMAGED

BURNED

YES

NO

 

 

(x)

 

 

(x)

 

 

 

 

 

(x)

 

(x)

 

 

 

 

(x)

 

 

(x)

(x)

 

TIRES

 

 

 

 

 

 

 

FRONT

 

 

 

 

 

 

 

IGNITION

 

 

 

MOTOR COMP.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ENGINE

 

 

 

 

 

 

 

R. SIDE

 

 

 

 

 

 

 

DOOR

 

 

 

PASS. COMP.

 

 

CONDITION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TRANS.

 

 

 

 

 

 

 

L. SIDE

 

 

 

 

 

 

 

TRUNK

 

 

 

TRUNK COMP.

 

 

ON

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

Common Questions

What is the purpose of the H 108 Connecticut form?

The H 108 Connecticut form is used to report a stolen vehicle to the local or State Police. It is required by law for vehicle owners to submit this written report in the municipality where the theft occurred. This report is necessary for the processing of any insurance claims related to the stolen vehicle.

Who is required to file the H 108 form?

The owner of the motor vehicle that has been stolen is responsible for filing the H 108 form. This must be done in writing to the appropriate police department where the theft took place. Filing the report is a legal obligation under Connecticut General Statutes.

What information is needed to complete the H 108 form?

To complete the H 108 form, the following information is required: the year, make, model, body style, color(s), vehicle identification number (VIN), and license plate number of the stolen vehicle. Additionally, details about the theft, such as the date, time, and location, as well as the owner's information and insurance details, must be provided.

What are the consequences of filing a false report?

Filing a false report regarding the theft of a motor vehicle is a serious offense. Under Connecticut law, individuals who knowingly submit false information can face a fine of up to five hundred dollars, imprisonment for up to six months, or both. It is essential to provide accurate information when filing the report.

What should I do after submitting the H 108 form?

After submitting the H 108 form, it is advisable to keep a copy for your records. You should also follow up with the police department to check on the status of the investigation. Additionally, inform your insurance company about the theft and provide them with a copy of the report to facilitate your claim.

How does the H 108 form affect my insurance claim?

The H 108 form is a crucial document for processing insurance claims related to stolen vehicles. Insurance companies typically require a copy of this report to verify the theft and proceed with the claim. It is important to file the report promptly to avoid delays in receiving compensation for your loss.

Guide to Filling Out H 108 Connecticut

After reporting a stolen vehicle, it is important to fill out the H 108 Connecticut form accurately. This form serves as an official record of the theft and is necessary for insurance claims. Follow these steps to ensure proper completion of the form.

  1. Begin by entering the name of the police department where the report is being filed.
  2. Fill in the date reported.
  3. Provide details about the stolen vehicle, including the year, make, model, body style, color(s), and vehicle marker plate number.
  4. Indicate if the vehicle was registered by selecting yes or no. If yes, specify the state of registration.
  5. Record the vehicle identification number (VIN).
  6. Estimate the value of the vehicle and write the amount.
  7. Answer whether the doors were locked and if the keys were in the vehicle by checking yes or no.
  8. Provide the name of the insurance company.
  9. Enter the name of the owner and their telephone number.
  10. Fill in the owner's address.
  11. Indicate if the owner or person in custody of the vehicle will be available for court by selecting yes or no.
  12. Record the date the vehicle was stolen, the day of the week, and the time it was stolen.
  13. Provide the location stolen from (e.g., street address).
  14. Fill in the name of the person reporting the theft, along with their address and telephone number.
  15. Sign the form in the signature section and include the date signed.
  16. Leave the section labeled do not write below this line for police department use only.

Dos and Don'ts

When filling out the H 108 Connecticut form, it’s important to follow specific guidelines to ensure accuracy and compliance. Here’s a list of five things to do and not to do:

  • Do provide accurate information. Ensure that all details, including vehicle make, model, and identification number, are correct.
  • Do report the theft promptly. File your report with the local or state police as soon as possible after the theft.
  • Do include your contact information. Make sure to provide your name, address, and phone number for follow-up.
  • Do sign the report. Your signature is necessary to validate the report you are submitting.
  • Do keep a copy of the report. Retain a copy for your records and for communication with your insurance company.
  • Don’t provide false information. Making a false report can lead to legal consequences, including fines or imprisonment.
  • Don’t leave any fields blank. Fill out all sections of the form to avoid delays in processing.
  • Don’t forget to check the vehicle registration status. Indicate whether the vehicle was registered and in which state.
  • Don’t neglect to report additional damages. If there are any missing or damaged parts, be sure to note them on the form.
  • Don’t submit the report without reviewing it. Double-check all information for accuracy before submission.