Connecticut Department of Motor Vehicles · Connecticut state form
H-136 Affidavit to Obtain Title to a Motor Vehicle (Denied Insurance Claim)
Salvage vendors use this affidavit to request a Connecticut title for a motor vehicle after an insurance company denies a claim and releases the vehicle.
- What this form is
- H-136 is for salvage vendors seeking a Connecticut title to dispose of a motor vehicle after an insurance company releases it to the owner. The affidavit requests vehicle, owner, lienholder, accident, notice, and storage information. It includes statements about contact with the owner or lienholder and the vehicle’s disposition, and requires supporting documents for certain checked statements.
- Who needs it
- A salvage vendor seeking a Connecticut title for a motor vehicle after an insurance company releases it to the owner may use this affidavit.
- Why it needs a notary
- The affidavit states that the signer is duly sworn and declares the information under penalty of false statement. The signature must be notarized, which can be done online with a commissioned online notary.
- How to submit it
- The affidavit says the salvage vendor seeks a Connecticut title from the Connecticut Department of Motor Vehicles. Submit it to the Connecticut agency named on the form.
Questions
Who uses Connecticut DMV form H-136?
The form is for salvage vendors seeking a Connecticut title to dispose of a motor vehicle after an insurance company releases it to the owner.
Does form H-136 need to be notarized?
Yes. The affidavit states that the signer is duly sworn and makes a declaration under penalty of false statement. A commissioned online notary can notarize the signature online.
What supporting documents may be required with H-136?
The form says to provide the insurance company’s notification that it released the vehicle to the owner. Written proof and supporting documentation are also required for certain checked statements.