Al Mli Form PDF Details

In the state of Alabama, adhering to the mandatory liability insurance requirements is not only a lawful duty but a critical aspect of ensuring all motor vehicle operators contribute to a safer community. Through the administrative efforts of the Alabama Department of Revenue Motor Vehicle Division, the Al Mli form emerges as a crucial tool in this endeavor. This document, which must be processed either online or returned via fax or mail, is designed to verify that vehicle owners have complied with Section 32-7A-4 of the Code of Alabama 1975, which mandates the maintenance of liability insurance for operated or registered vehicles within the state. The form serves a dual purpose, functioning as both a questionnaire and a means of facilitating communication between the state and the vehicle registrants. Key features of the form include space for personal details, insurance verification, and a section for registrants’ responses, each of which plays a vital role in confirming insurance coverage or addressing the lack thereof. Should a registrant fail to respond, they face the potential suspension of their vehicle registration, highlighting the form's significant role in the broader framework of Alabama's vehicular insurance verification system. Moreover, the document includes clear instructions for reinstatement and appeal rights, should discrepancies arise, thereby ensuring due process is maintained. Ultimately, the Al Mli form represents a critical interface between state regulations, individual compliance, and the overarching goal of public safety on the roads.

QuestionAnswer
Form NameAl Mli Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesalabama mandatory questionnaire, gov mli alabama, mvtrip alabama gov, alabama mli questionnaire

Form Preview Example

ALABAMA DEPARTMENT OF REVENUE

MOTOR VEHICLE DIVISION

Mandatory Liability Insurance Unit

P.O. Box 327650

Montgomery, AL 36132-7650

<Name>

<Name>

<Address>

<City>, <State> <ZipCode>

OUTSIDE MAILER ENVELOPE PANEL

Mandatory Liability Insurance Questionnaire

Date of correspondence: <LetterDate>

Section 32-7A-4, Code of Alabama 1975, requires vehicle owners to maintain liability insurance on motor vehicles operated or registered in this state. In order for the department to verify evidence of insurance, please complete the online insurance questionnaire at: mli.mvtrip.alabama.gov. The license plate number and PIN included in this mailer will be needed to complete the online questionnaire. If you are unable to complete the questionnaire online, please complete and return this mailer by fax to (334) 353-8105 or mail. Your insurance company will be contacted to verify the information provided.

Failure to respond to this questionnaire may result in the suspension of your vehicle registration. For additional information regarding this matter, please contact the department at: mli@revenue.alabama.gov or (334) 242-3000.

INFORMATION PANEL

Insurance Verification

Insurance Verification Date: <VerificationDate>

 

 

 

 

 

 

 

PIN #: <PIN>

Registrant Name:<Name>

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License Plate: <TagNumber>

 

 

 

<Name>

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Identification No.: <VIN>

Make: <VehicleMake> Model:<VehicleModel> Year: <VehicleYear>

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Was the vehicle identified above insured on the above insurance verification date? Please select ONE response below.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

Insurance information must be provided below, OR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NO

The vehicle was operated/registered without insurance on the above insurance verification date. NOTE: The registration

will be suspended. Please refer to mli.mvtrip.alabama.gov for reinstatement instructions and appeal rights, OR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NO

The vehicle was stored/ inoperable on the above insurance verification date. NOTE: The registration will be revoked.

Please refer to mli.mvtrip.alabama.gov for instructions and appeal rights.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Insurance Company Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Insurance Co. NAIC Number:

 

 

 

 

 

 

 

 

 

 

 

This 5-digit number is required and can be found on your insurance card.

 

 

 

 

 

 

 

 

 

 

 

Contact your insurance agent if you are unable to locate this number.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Insurance Co. Street Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ins. Co. City, State, Zip:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ins. Co. Phone Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Policy Number:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Policy Effective Date:

 

 

 

 

 

 

 

 

 

 

 

 

Policy Expiration Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Barcode

REGISTRANT RESPONSE PANEL

<Name>

 

<Name>

Place

<Address>

Stamp

<City>, <State> <ZipCode>

Here

 

ALABAMA DEPARTMENT OF REVENUE

 

MOTOR VEHICLE DIVISION

 

Mandatory Liability Insurance Unit

 

P.O. Box 327650

 

Montgomery, AL 36132-7650

RETURN MAILER PANEL

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