Homepage Blank H 108 Connecticut Form
Outline

The H 108 Connecticut form serves as a crucial tool for individuals who have experienced the distressing event of having their vehicle stolen. This form must be completed and submitted to the local or state police department in the area where the theft occurred. According to Connecticut General Statutes, it is mandatory for vehicle owners to file this report in writing, as it is a prerequisite for settling any insurance claims related to the stolen vehicle. The form collects essential information, including details about the vehicle such as its make, model, color, and identification number, as well as specifics about the theft, like the time and location it was stolen. Additionally, it captures information about the vehicle's owner and their insurance provider. The H 108 also contains a warning regarding the consequences of filing a false report, underscoring the importance of honesty in this serious matter. Completing this form accurately and promptly can aid law enforcement in recovering the stolen vehicle and assist the owner in navigating the insurance process.

Sample - 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

Form Information

Fact Name Fact Description
Purpose The H-108 form is used to report stolen vehicles in Connecticut.
Governing Law This form is governed by Connecticut General Statutes (C.G.S.) 14-151a.
Insurance Requirement Filing this report is necessary before settling any insurance claims related to the theft.
False Reporting Penalty Making a false report can result in a fine of $500 or imprisonment for up to six months.
Submission Location The report must be submitted to the local or state police department where the theft occurred.
Owner Information The form requires detailed information about the vehicle owner, including their contact details.
Recovery Process There are specific sections for documenting the recovery of the vehicle and any additional information.

Detailed Guide for Filling Out H 108 Connecticut

Filling out the H 108 form is an important step if your vehicle has been stolen. This form needs to be completed accurately to ensure that the police can take the necessary actions. Follow these steps to fill it out properly.

  1. Start by entering the name of the police department where you are reporting the theft.
  2. Fill in the date you are reporting the theft.
  3. Provide details about the vehicle:
    • Year
    • Make
    • Model
    • Body style
    • Color(s)
    • Vehicle marker plate number
    • Is the vehicle registered? If yes, in what state?
    • Vehicle identification number
    • Estimated value of the vehicle
  4. Indicate whether the doors were locked and if the keys were in the vehicle.
  5. Provide the name of your insurance company.
  6. Fill in the name of the owner, along with their telephone number and address.
  7. Answer if the owner or person in custody of the vehicle will be available for court.
  8. Enter the date the vehicle was stolen, including the day of the week and time (A.M. or P.M.).
  9. Provide the location from where the vehicle was stolen (e.g., street address).
  10. Fill in the name of the person reporting the theft, along with their address and telephone number.
  11. Sign and date the form where it asks for the signature of the person filling out the report.
  12. Leave the section labeled DO NOT WRITE BELOW THIS LINE for police use only.

Once you have completed the form, submit it to the appropriate police department. They will process your report and provide you with a case number. This is crucial for any insurance claims you may need to file later.

Obtain Answers on H 108 Connecticut

  1. What is the purpose of the H 108 form?

    The H 108 form is used to report a stolen vehicle in the state of Connecticut. It is essential for vehicle owners to complete this form and submit it to the local or state police department where the theft occurred. This report is not only a legal requirement under Connecticut General Statutes but also a critical step for processing insurance claims related to the stolen vehicle.

  2. Who is required to file the H 108 form?

    The owner of the stolen vehicle must file the H 108 form. If the vehicle is registered in Connecticut, the owner needs to report the theft in writing to the appropriate police authority. This requirement ensures that law enforcement can take appropriate action and that the owner can pursue insurance claims.

  3. What information is needed to complete the H 108 form?

    To fill out the H 108 form, the following information is required:

    • Details about the vehicle, including year, make, model, body style, color, and vehicle identification number (VIN).
    • The vehicle's estimated value and whether it was locked at the time of theft.
    • Insurance information, including the name of the insurance company.
    • Details about the theft, such as the date, time, and location.
    • Contact information for the vehicle owner and any other relevant parties.

    Completing the form accurately helps law enforcement and insurance companies handle the case effectively.

  4. What are the consequences of filing a false report?

    Filing a false report regarding the theft of a vehicle can lead to serious consequences. Under Connecticut law, a person who knowingly makes a false report may face a fine of up to five hundred dollars or imprisonment for up to six months, or both. This emphasizes the importance of honesty when completing the H 108 form.

Common mistakes

Completing the H 108 Connecticut form can be a straightforward process, but several common mistakes may lead to complications. One significant error occurs when individuals fail to provide accurate vehicle information. This includes the year, make, model, and vehicle identification number (VIN). Inaccuracies in these details can delay the investigation and hinder the recovery of the stolen vehicle.

Another frequent mistake is neglecting to report the theft to the appropriate police department. The instructions clearly state that the owner must file a report with the local or state police where the theft occurred. Failing to do so may not only complicate the insurance claim process but could also result in legal consequences for making a false report.

Many individuals also overlook the importance of including their insurance company details. The form requests the name of the insurance company, and omitting this information can lead to delays in processing claims. Insurers often require a police report for claims related to stolen vehicles, making this detail essential.

Additionally, some people forget to indicate whether the vehicle was locked at the time of theft. This detail is relevant to the investigation and can impact the outcome of an insurance claim. A simple "yes" or "no" can provide crucial context for law enforcement and insurance adjusters.

Another common error is not providing complete contact information for the vehicle owner. The form requests the owner's name, address, and telephone number. Incomplete or inaccurate contact details can hinder communication and follow-up, potentially delaying the resolution of the case.

Lastly, individuals sometimes fail to sign and date the report. The signature of the person filling out the report is required for validation. Without it, the report may be considered incomplete, leading to further complications in processing the claim or investigation.

Documents used along the form

When dealing with a stolen vehicle report, such as the H 108 form in Connecticut, there are several other important documents and forms that may be necessary to ensure a smooth process for recovery and insurance claims. Each document serves a specific purpose and can aid in providing the necessary information to law enforcement and insurance companies.

  • Police Report: This is a detailed account created by law enforcement after a theft is reported. It includes vital information such as the time and location of the theft, the circumstances surrounding the incident, and any evidence collected. This report is essential for insurance claims and legal proceedings.
  • Insurance Claim Form: After reporting the theft, vehicle owners must file a claim with their insurance company. This form typically requires details about the vehicle, the incident, and any supporting documentation, including the police report, to initiate the claims process.
  • Affidavit of Loss: This document is often required by insurance companies to confirm that the vehicle is indeed lost or stolen. The owner must provide a sworn statement detailing the circumstances of the theft and affirming that they have not recovered the vehicle.
  • Vehicle Recovery Report: If the stolen vehicle is recovered, this report is completed by the police. It documents the recovery details, including the condition of the vehicle and any damages incurred, which is important for both law enforcement records and insurance adjustments.
  • Release of Liability: When a stolen vehicle is recovered and returned to the owner, a release of liability form may be necessary. This document releases the police department and any involved parties from liability related to the vehicle's condition or any incidents that occurred during its absence.

Understanding these documents can greatly assist vehicle owners in navigating the often complex processes that follow a theft. Each form plays a critical role in ensuring that the owner receives the support and compensation they need during this challenging time.

Similar forms

The H 108 Connecticut form serves as a written report for stolen vehicles. Several other documents share similarities with this form in terms of purpose and required information. Below are five such documents:

  • Police Report Form: Similar to the H 108, a police report form is used to document incidents reported to law enforcement. It includes details such as the nature of the incident, involved parties, and a narrative of events.
  • Insurance Claim Form: This form is filed with an insurance company to initiate a claim for a stolen vehicle. It requires information about the vehicle, the incident, and the policyholder, paralleling the information needed on the H 108.
  • Incident Report Form: Often used by businesses or organizations, this document records specific incidents, including thefts. It captures similar data points, such as time, location, and descriptions of the incident.
  • Vehicle Recovery Report: After a stolen vehicle is recovered, this report documents the recovery details. It includes information about the vehicle's condition and the recovery process, akin to the details requested in the H 108.
  • Loss Report Form: This form is used to report lost property, including vehicles. It requires descriptions and circumstances surrounding the loss, similar to the information collected in the H 108 form.

Dos and Don'ts

When filling out the H 108 Connecticut form, it's essential to follow specific guidelines to ensure the process goes smoothly. Here are seven things you should and shouldn't do:

  • Do report the theft as soon as possible to the local or State Police.
  • Do provide accurate and complete information about the vehicle.
  • Do include your contact information so the police can reach you if needed.
  • Do keep a copy of the completed form for your records.
  • Don't submit the form without double-checking for errors or omissions.
  • Don't make a false report; this can lead to serious penalties.
  • Don't forget to sign and date the form before submitting it.

Misconceptions

Understanding the H 108 Connecticut form is essential for anyone dealing with a stolen vehicle situation. However, several misconceptions often arise regarding its purpose and requirements. Below is a list of common misunderstandings, along with clarifications to ensure accurate information is conveyed.

  • The H 108 form is optional for insurance claims. Many believe that filing this form is not necessary for insurance purposes. In fact, according to Connecticut General Statutes, it is required to file this report before settling any insurance claims related to the theft.
  • Only the vehicle owner can file the H 108 form. Some think that only the registered owner can report the theft. However, anyone in custody of the vehicle can also fill out the form, as long as they provide the owner's information.
  • Submitting the form guarantees recovery of the vehicle. There is a common belief that filing the H 108 form will ensure the stolen vehicle is recovered. While the form is crucial for reporting, recovery depends on various factors, including police investigation efforts.
  • The form can be submitted online. Many individuals assume that the H 108 form can be filled out and submitted online. Currently, it must be reported in writing to local or state police, as specified in the instructions.
  • Filing a false report is a minor offense. Some people underestimate the seriousness of filing a false report. Connecticut law states that knowingly making a false report can result in a fine of up to five hundred dollars or imprisonment for up to six months.
  • The form is only for vehicles stolen in Connecticut. A misconception exists that the H 108 form is only applicable for vehicles stolen within state lines. However, if a vehicle registered in Connecticut is stolen elsewhere, it is still important to file this report with local authorities.
  • All information on the form is optional. Some may think that they can skip filling out certain sections of the form. In reality, providing complete and accurate information is vital for effective police response and insurance processing.
  • The police will automatically contact the vehicle owner after recovery. It is often assumed that police will notify the owner automatically when a vehicle is recovered. However, it is the responsibility of the police department to notify the owner, and this may not happen without proper follow-up.

By addressing these misconceptions, individuals can better navigate the process of reporting a stolen vehicle and ensure compliance with the necessary legal requirements.

Key takeaways

When dealing with the H 108 form in Connecticut, here are some key points to keep in mind:

  • The form is used to report a stolen vehicle to the local or state police.
  • It is mandatory to file this report before settling any insurance claims related to the theft.
  • Filing a false report can lead to serious consequences, including fines or imprisonment.
  • Complete the form with accurate details about the vehicle, including its make, model, color, and VIN.
  • Provide information about the theft, such as the date, time, and location where the vehicle was stolen.
  • Indicate whether the vehicle was locked and if the keys were left inside.
  • Include your insurance company’s name and the estimated value of the vehicle.
  • Make sure to sign the report and include your contact information.
  • Keep a copy of the report for your records; it may be needed for insurance purposes.
  • Follow up with the police department if you have not received updates on your case.

By following these guidelines, you can ensure that your report is complete and accurate, which is essential for both law enforcement and insurance processes.