Dl123a Insurance Form

General assembly has enacted legislation to require some but not all driver license applicants in north carolina to submit proof of automobile liability insurance coverage in order to obtain a north carolina driver.

Dl123a insurance form. The form dl 123 proves to the north carolina division of motor vehicles that you have at least the minimum amount of liability car insurance required to drive a vehicle registered in north carolina. Ncdmv forms javascript must be enabled to use some features of this site. A dl123 form is required of those who wish to obtain or reinstate a driver s license in the state of north carolina. This form can be provided for non owners policies and regular policies.

Below is information from the nc dmv website. Please do one of the following. Also a dl123 form is required of those who wish to reinstate their license after a dui dwi suspension. Dl 123 10 98 driver license liability insurance certification insured driver date of birth policyholder s insurance company policy number effective date agency name expiration date agent s signature date this dl 123 completed this form is valid for 30 days after completion by insurance agent 39836 f.

Form dl 123 binders and certificates are valid only for 30 days from the date of issuance and must be from an insurance company licensed to do business in north carolina. Dl 123 insurance form provided by a north carolina insurance company learn more. Certification of liability insurance coverage must be submitted on dmv form dl 123 or an original liability insurance policy binder or an insurance card and must come from an insurance company licensed to do business in north carolina. Where do i get a dl123 form north carolina law requires that a dl 123 form has to be filled out and signed by your auto insurance agency select insurance group before you can receive your nc license back.

Insurance policy from a north carolina licensed insurer that show the dates the policy was issued and became effective. Liability insurance or 30 60 25 limits are what is required of every north carolina driver. North carolina certificate of insurance fs 1 showing the vehicle year make model and vehicle identification number.