How to Fill Out Form FR-230

Form FR-230 at a glance

What it is: FR-230 (Rev. 03/2020) is the Financial Responsibility Installment Agreement of the South Carolina Department of Motor Vehicles.

Who signs: Signature of Person Paying and Signature of Recipient or Representative of Recipient.

A filled-in Form FR-230 example: a person paying in installments after a collision

Form FR-230 example filled out, example: a person paying in installments after a collision
Jane Ann Sample fills out FR-230 to pay John Doe. She agrees to pay for the collision in monthly installments, starting April 15, 2026. The suspension did not result from an unsatisfied judgment, so the court approval section stays empty. The picture shows the filled form, and all its values are invented.

How to fill out Form FR-230, box by box

Accident, collision and drivers involved

Form FR-230 example filled out, accident, collision and drivers involved

Enter the Accident/Collision Case No, the Date of Collision, the State/County and the Drivers Involved.

The settlement, the sum, the rate and the first payment

Form FR-230 example filled out, the settlement, the sum, the rate and the first payment

"As a result of the above collision, I agree to settle claims for damages and/or personal injuries suffered by you on the following terms:"

Enter the sum in "I agree to pay the sum of ($ )".

Enter the rate in "To you or your personal representative at the rate of $ or more per" and fill in "The first payment is due".

"As soon as I have made all payments, you will release me from all claims and causes of action you have against me from damages or personal injuries as a result of the above collision."

Signature of Person Paying

Form FR-230 example filled out, signature of Person Paying

Under SIGN, sign on Signature of Person Paying and enter the Date, the Driver's License No. and the Date of Birth.

Signature of Recipient or Representative of Recipient

Form FR-230 example filled out, signature of Recipient or Representative of Recipient

Under ACCEPTANCE: "I accept the foregoing agreement and acknowledge that I will execute a release upon completion of its terms."

Under SIGN, sign on Signature of Recipient or Representative of Recipient and enter the Date, the Driver's License No. and the Date of Birth.

Court approval

Form FR-230 example filled out, court approval

FR-230A (Rev. 03/2020) is the COURT APPROVED INSTALLMENT AGREEMENT. Court approval is only applicable if suspension resulted from an unsatisfied judgment.

If the agreement is approved by the court, this section must be completed and signed by the judge.

The court hereby approves this agreement pursuant to SC Code Section 56-9-490. Enter the Judgment Case No and the County; under SIGN, sign on Judge's Signature, then enter the Date and the Printed Name of Judge.

Sources

[1] Form FR-230 (Rev. 03/2020), Financial Responsibility Installment Agreement, South Carolina Department of Motor Vehicles (the Official source link on this page).

FR-230 PDF Details

By signing and accepting this agreement, both parties agree it may be used by the South Carolina Department of Motor Vehicles in the administration of the Financial Responsibility Act.

Page 2: if the agreement is approved by the court, this section must be completed and signed by the judge.

Signed by: Person Paying, and Recipient or Representative of Recipient, each with Date and Date of Birth.

Collision: Date of Collision, State/County and Drivers Involved.

QuestionAnswer
Form Name FR-230
Form Length 2 pages
Fillable? Yes
Fillable fields 24
Avg. time to fill out 4 min
Other names FR-230, FR230, FR 230, Financial Responsibility Installment Agreement, SC DMV FR-230
EditionRev 03/2020
Issuing agencySouth Carolina Department of Motor Vehicles
Official sourceFR-230 (Rev 03/2020), South Carolina Department of Motor Vehicles