Connecticut Department of Motor Vehicles · Connecticut state form

H-135 Affidavit to Obtain Title for a Denied Insurance Claim

Salvage vendors use this affidavit to seek a Connecticut title for a motor vehicle involved in a denied insurance claim. The form requires sworn statements and supporting notices.

What this form is
Form H-135 is for salvage vendors seeking a Connecticut title to dispose of a motor vehicle after an insurance claim has been denied. It collects vehicle, insurance, owner, lienholder, notice, and storage information. The signer attests that the statements are true and that the vehicle will be disposed of through specified dealer or recycler channels. The form identifies written notices and other supporting documentation that must accompany applicable statements.
Who needs it
A salvage vendor seeking a Connecticut title for a vehicle involved in a denied insurance claim may use this affidavit.
Why it needs a notary
The affidavit states that the signer is duly sworn and makes statements under oath. The signature must be notarized; this can be done online with a commissioned online notary.
How to submit it
The form does not provide submission instructions. Submit it to the Connecticut agency named on the form.

Questions

Who can use form H-135?

The form is marked for use by salvage vendors only. It concerns a salvage vendor seeking a Connecticut title for a motor vehicle after an insurance claim has been denied.

Does the H-135 affidavit need to be notarized?

Yes. The affidavit says the signer is duly sworn and makes statements under oath. The signature must be notarized, which can be done online with a commissioned online notary.

What supporting documents does the form mention?

The form says the insurance company's denial notification must be provided with the affidavit. It also calls for written proof in specified circumstances, including certain owner or lienholder statements and due diligence.