MAT-100 Municipality Systems Request for Test Form

 

For further information and questions, please contact the associated email and/or phone number listed for the district you are working with located on the form.

Please obtain a blank Mat-100 pdf from this web page each time you fill one out.  This will insure that you are using the most current revision:
 

MAT 100 (206 Kb pdf) - last update 07-15-2024 12:09 pm

Note! When form is opened with Adobe Reader you might see a message with a button to the right "Enable all..." - please click on it to enable editing.
 
** Please note ** Do not modify the format of the blank Mat-100 pdf in any
                                               way or it will not upload properly.
To download a free copy of Acrobat Reader, select the icon below:
Acrobat Reader Free Download  PLEASE ENSURE YOU ARE USING THE MOST UP-TO-DATE VERSION OF ACROBAT READER (Do not use Bluebeam or other readers)
To see basic instructions (in Microsoft PowerPoint) on how to fill out the form and send it to the district office please select Mat-100 Power Point instructions.

 

For further information, please contact: 

DOT.Helpdesk@ct.gov or (860) 594-3500.

Department of Transportation

Mailing address
2800 Berlin Turnpike
P.O Box 417546
Newington CT 06131-7546