Sr50 Insurance Form

The form is to be completed by an administrator of the employer or rental company which manages the company s automotive insurance policies.

Sr50 insurance form. The affidavit informs indiana about the beginning and ending dates for an auto insurance policy. Failure to produce the sr 50 form when it s required can cost you up to 300 in fines. Sr 50 affidavit of insurance driver information last name first name middle initial driver license number street address city state zip code policy information insurance company name policy number. Instant quotes are available for indiana and illinois only.

Click for a quote. The sr 50 is specific to indiana car insurance. I swear or affirm under penalty of perjury that the information provided on this form is true. The form shows the bmv the beginning and ending dates of the current policy.

We provide insurance coverage for people in indiana illinois and kentucky. If you are uninsured at the time of a violation you will likely be subject to a one year suspension of driving privileges and a reinstatement fee of up to 300. Sr 22 proof of future financial responsibility. This form shows the bureau both the beginning and end dates of the current policy.

Use of this form by drivers not operating a rental or company vehicle is considered fraudulent and may result in suspension of driving privileges. Sr 50 insurance in indiana may be required if you re found driving uninsured or if your driver s license was suspended. The sr 50 insurance form is used as proof of auto insurance for high risk drivers in indiana. Four different proofs of financial responsibility insurance will be accepted electronically through this program including sr22 sr26 sr50 and a certificate of compliance coc.

For other insurance needs. The sr 50 in indiana is a form is used by a motorist to provide proof of current insurance to the bmv. The indiana bmv will require an sr 50 to reinstate your license. An sr50 filing known as an affidavit of current insurance provides proof of current insurance to the indiana bureau of motor vehicles.

The indiana bureau of motor vehicles bmv states that a sr 50 is a form used by a person to provide proof of current insurance to the bureau. Gravityform id 1 name ledbetter insurance automobile quote form title false description false ajax true.