Dl 123 A Insurance Form

Dl 123 10 89 driver license liability insurance certification.

Dl 123 a insurance form. A dl123 form is required of those who wish to obtain or reinstate a driver s license in the state of north carolina. The purpose of the dl 123 form is to provide documentation to the north carolina dmv that you are an insured driver and that your policy meets the state minimum requirements for liability coverage. Effective date of policy. 8 4 2006 1 27 51 pm.

Proof of coverage a form which shows the vehicle the policy effective and expiration dates and the limits of coverage carried on the vehicle. Also a dl123 form is required of those who wish to reinstate their license after a dui dwi suspension. This form is valid for 30 days after completion by insurance agent. Dl 123 4 06 insured driver date of birth.

This form is valid for 30 days after completion by insurance agent 39386 04 06 title. Certification of liability insurance coverage must be submitted on dmv form dl 123 or an original liability insurance policy binder or certificate of insurance. Date the policy was issued. Now if a driver doesn t own a vehicle registered in north carolina or operates a non fleet private vehicle owned by someone else a certificate of exemption called a form dl 123a must be submitted.

Liability insurance or 30 60 25 limits are what is required of every north carolina driver. Forms for brighthouse life insurance company previously metlife insurance company usa brighthouse life insurance company of new york previously first metlife investors insurance company and new england life insurance company can be found at the brighthouse financial eforms site. These documents must show. A form dl 123 is also one of the accepted ways to show proof of liability car insurance when someone is registering a vehicle in north carolina.

Under north carolina law you are required to be insured at minimum for 30 000 of bodily injury liability per accident per person and 60 000 of bodily injury liability per accident total. Insurance policy from a north carolina licensed insurer that show the dates the policy was issued and became effective north carolina certificate of insurance fs 1 showing the vehicle year make model and vehicle identification number dl 123 insurance form provided by a north carolina insurance company.