Alabama Proof of Liability Insurance SR-21 Application pdf

Alabama Proof of Liability Insurance SR-21 Application pdf, SR21 Proof of Liability Insurance, Form SR-21 Proof of Liability Insurance, Form SR-21 Alabama, Alabama proof of liability insurance sr 21 application pdf online, alabama proof of residency, alabama drivers license name change, alabama dl.alea.gov medical card, apply for hardship license online, become an alabama resident, how to get a class b license in alabama, alabama dmv permit test,


SR ‐ 21      Revised   12/2018     A LABAMA L AW E NFORCEMENT A GENCY D RIVER L ICENSE D IVISION 301 S OUTH R IPLEY S TREET / P.O. B OX 1471 / M ONTGOMERY , AL 36102-1471 P HONE 334.242.4200 / WWW . ALEA . GOV RETURN TO: Alabama Law Enforcement Agency Safety Responsibility Unit P.O. Box 1471 Montgomery, AL 36102-1471 Phone: 334-242-4222 Proof of Liability Insurance If there was a liability policy in effect on the date of accident to cover liability for damage or injury to others, you may complete the information below and return to the Safety Responsibility Unit. You must have the insurance company name and policy number on this form CASE NUMBER: _____________________________________________________________________ Name of Liability Insurance Company: ____ ________________ _________________ _______________ Policy Number: _______________________________________________________________________ Policy Period from: _______________________________ To: _____________________________ Date of Accident: _______________________________ in or near ______________________, Alabama Make of Vehicle: ______________________________________________________________________ Driver: _______________ ____________________ ______ Address: ______ _______________________ Owner: ___________________ ______________________ Address: ________ _____________________ Policy Holder: ______________ _____________________ Address: __________________ ___________


Form NameAlabama Proof of Liability Insurance SR-21 Application
Issuing AuthorityAlabama Law Enforcement Agency (ALEA) or the Alabama Department of Revenue
PurposeTo provide proof of liability insurance coverage after a motor vehicle accident or violation
Document TypeProof of Liability Insurance (SR-21)
FormatTypically available as a downloadable PDF form or obtainable in person
AvailabilityAlabama Law Enforcement Agency (ALEA) website, Alabama Department of Revenue website, or in-person at ALEA offices or DMV locations
Application FormsSR-21 forms are typically available on the official websites of ALEA or the Alabama Department of Revenue
Requirements- Accurate identification of the vehicle owner or operator<br>- Proof of liability insurance coverage
Accessible DevicesComputers, smartphones, tablets, and other devices with PDF reader apps
Submission- Submit the completed SR-21 form to the appropriate agency or office as instructed<br>- Include any required supporting documents
FeesFees for submitting an SR-21 form may vary based on the circumstances
Official Website (Form Link)Alabama Law Enforcement Agency - SR-21 Forms
Alabama Department of Revenue - Motor Vehicle Division
SR-21 Application pdf

Alabama Proof of Liability Insurance SR-21 Application pdf, SR21 Proof of Liability Insurance, Form SR-21 Proof of Liability Insurance, Form SR-21 Alabama, Alabama proof of liability insurance sr 21 application pdf online, alabama proof of residency, alabama drivers license name change, alabama dl.alea.gov medical card, apply for hardship license online, become an alabama resident, how to get a class b license in alabama, alabama dmv permit test,