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Dmv insurance Form: What You Should Know

Name of driver(s) involved in the accident. Date of accident. Seat Belt and Child Safety Locks (if required).  Name of other car occupant/in passenger Attendant's name, address, car insurance information (if applicable), and driver's license number.  Date of accident. Vehicle Identification Number (VIN) (or vehicle type) If you are a person with a disability and use a Disability Access Vehicle (DV) and wish to be exempt from the mandatory insurance information submission requirements: The Department of Motor Vehicles is an Equal Opportunity Provider and complies with Title VI of the Civil Rights Act of 1964, as amended. The applicant for the waiver must submit to the Agency a written request, signed by the applicant in person, or by telephone, or by mail, containing the applicant's: A written statement identifying the disability; A description of the disability; and The reasons why the individual is able to safely operate a Disability Access Vehicle, including the types of accommodations required by the Department of Motor Vehicles. The individual must also submit the Department's Disability Discrimination Statement (DS-3/D-9) and Disability Access Information Statement (DS-4/D-7) to verify that he/she is not the subject of a final decision or administrative law proceeding regarding disability discrimination. You may use the same form listed above if you do not wish to complete the waiver if you have a disability. We will process your request as soon as you submit it. If you have any questions, please contact us! FLS-2/D-2. (Address) (Phone number) (Date) (Signature/signature page) Complete this form to indicate your intent to obtain or renew an existing Florida auto insurance policy.  This is only used to determine your eligibility for a Florida insurance discount as required by State law. If you are applying for a new/renewal policy, you will need a new insurance identification number, a change of address form and a copy of your current insurance.  If you do not have access to state-issued photo identification, then you need to obtain a Florida Driver's License or State ID Card.  When you receive the completed Florida Insurance Identification Number, you will need to use that number to open up the Florida Insurance Claim Settlement Program.

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