Each application for renewal of a suppressed motor vehicle operator license shall be on a form prescribed by the commissioner and shall contain a written justification for the issuance of such suppressed license signed by a person having authority to request the issuance of a suppressed motor vehicle operator license pursuant to section 14-11a-4. Each written justification shall identify the person for whom the suppressed motor vehicle operator license is to be renewed and his current nonsuppressed Connecticut motor vehicle operator license number and date of expiration of such nonsuppressed license.
Conn. Agencies Regs. § 14-11a-6