Proof Of Insurance Form Indiana Bmv

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Proof of insurance form indiana bmv. The cuid number can be found at the bottom of notice the bmv sent requesting proof of insurance. The link below is for insurance providers to submit a request for access to the electronic insurance forms submission eifs program or submit proof of financial responsibility documentation that has been requested by the bmv. The self insurance administrator at companies organizations with a current bmv issued certificate of self insurance must utilize the eifs program to submit appropriate proof of financial responsibility. You must provide proof of paying indiana income taxes for the current year or immediately prior year and have current motor vehicle title and registration records with the bmv.

Policy date year is required. Proof of financial responsibility for employer or rental vehicle or state form 55434 is used to relieve drivers of company owned or rental vehicles from the bmv s requirement for proof of financial responsibility when they were operating a company owned or rental vehicle during the course of their employment or rental term. Expiration date month is required. The form is to be completed by an administrator of the employer or rental company which manages the company s automotive insurance policies.

The bmv s electronic insurance forms submission eifs program allows insurance providers to submit a number of different proofs of financial responsibility through the bmv on behalf of their customers. You have a rural route mail delivery address. Policy date month is required. Print and complete the form you need then return it to the address noted on the form.

Policy number is required. In order to submit proof of insurance through the eifs program you must provide your insured 10 digit indiana dln or their cuid number. You must provide a properly certified government issued document showing your name and a description of the residence s location. Expiration date year is required.

First name is required. Proof of financial responsibility for employer or rental vehicle or state form 55434 is used to relieve drivers of company owned or rental vehicles from the bmv s requirement for proof of financial responsibility when they were operating a company owned or rental vehicle during the course of their employment or rental term. Please enter your user id and password and click the submit button. Driver license number is required.

The self insurance administrator at companies organizations with a current bmv issued certificate of self insurance must utilize the eifs program to submit appropriate proof of financial responsibility. Upon receipt of an accident report or traffic conviction from law enforcement the bmv will determine if it is required by statute to send a request for insurance verification to the driver. In order to ensure timely processing be sure to fill out the form completely and to include any payment or additional documentation necessary for processing. The bmv s electronic insurance forms submission eifs program allows insurance providers to submit a number of.

The person signing the affidavit must submit two documents proving indiana residency.