Financial Responsibility Insurance Form For Florida R 132
It acts as a cover letter for the utilized financial assurance mechanism s.
Financial responsibility insurance form for florida r 132. Financial responsibility coverage for florida practice only 1. An sr22 certificate of financial responsibility verifies that the named individual is carrying at least the state mandated amount of car insurance. If releaser signs and returns form to you take the signed releases and your original sr22 form to your nearest florida driver s license office or mail to the address on the front of this letter. Department of financial services.
The construction industry licensing. Use certified mail return receipt requested. 200 east gaines street tallahassee fl 32399 monday friday 8 am 5 pm est 1 877 my fl cfo 1 877 693 5236. Motorist services financial responsibility fr section is responsible for ensuring compliance with florida s financial responsibility law and motor vehicle no fault insurance law.
This form part is completed by the owner or operator the owner or operator certifies all financial responsibility requirements are being met. Aprns practicing in florida are required to be covered by malpractice insurance unless they qualify for an exemption listed on the financial responsibility form. The insurance company is guaranteeing to the state that you re maintaining coverage and are financially responsible for any accidents and it will let the state know if you do not. Make copies of this form and mail one to each releaser on your list.
Dfs h1 2146 florida insurance premium disclosure settlement agent certification dfs h2 72 public adjuster s bond form dfs h2 376 application for life license appt u s. Financial responsibility options are divided into two categories coverage and exemptions. Choose only one option of the ten provided pursuant to s 458 320 florida statutes. The financial responsibility form must be completed and filed with the board office before aprn certification is granted.
Financial responsibility requirements exist to ensure that owners and operators of regulated petroleum storage tanks have the financial resources to pay for the cost of corrective action and compensating third parties for bodily injury and property damage that might result from a discharge from a petroleum storage tank system. Financial responsibility and stability requirements for contractor applicants florida law requires all construction contractor applicants to establish that they are both financially responsible and financially stable prior to issuance of their licenses.