Form Fr 5A PDF Details

The Form Fr 5A, also known as the "Registration of Motor Vehicles by Jurisdiction" form, is an important document for any motor vehicle owner. The form allows states to track and collect information on registered vehicles and their owners. The form must be completed and submitted to the appropriate state agency for each state in which a vehicle is registered. It's important to keep a copy of the Form Fr 5A for your records, as you may be asked to produce it when renewing your registration or when selling or transferring a vehicle.

QuestionAnswer
Form NameForm Fr 5A
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namessc fr 10 form, Blythewood, FR-5A, SCDMV

Form Preview Example

South Carolina Department of Motor Vehicles

Response to Financial Responsibility Accident

FR-5A

(REV. 6/13)

NOTE: If Notice of Financial Responsibility Accident (Form FR5) is not included with this response, please include all information in this section as listed on the FR5 form.

Customer Name:

FR5 Reference No:

Date of Accident:

Date of Suspension:

Customer No:

Driver License No:

Year/Make:

 

VIN

 

Tag No.

 

 

 

 

 

 

INSURANCE (to be completed by insurance company or agent)

Your agent or insurance company can electronically submit your insurance information to DMV using the following website: www.sc-alir.com or the insurance information below can be completed by your agent or insurance company and submitted to DMV. The effective dates must cover the date of the accident for the vehicle that was involved in the accident.

Name of Company:

NAIC Code:

 

 

Policy Number

 

Vehicle Coverage Effective -

FROM:

 

 

TO:

Signature of Authorized Rep:

 

 

 

 

 

 

Date Signed:

 

 

 

Telephone:

 

ALTERNATIVE CLEARANCE OPTION 1 - NOTARIZED RELEASE OF LIABILITY

You may submit a notarized release of liability from all persons who received property damage and/or bodily injury. You may do this by submitting a completed FR 202 or FR 202a if you are a minor. These forms can be downloaded from our website located at www.scdmvonline.COM

ALTERNATIVE CLEARANCE OPTION 2 - FILE AN INSTALLMENT AGREEMENT

You may file an installment agreement that sets forth all claims for property damage and/or bodily injury, stating the amount of settlement, dates of payments and notarized signatures of all parties making agreement. You may do this by submitting a completed FR 230. This form can be downloaded from our website located at www.scdmvonline.COM

ALTERNATIVE CLEARANCE OPTION 3 - POST A SECURITY DEPOSIT

You may post a security deposit with the Department in the amount on the other side of this notice which must be paid by cash, cashier's check or money order and made payable to SCDMV.

I certify that the information listed above is true to the best of my knowledge. I can be subject to criminal penalties if I deliberately provide false information.

Owner Signature

SC Driver License No

SC Department of Motor Vehicles Financial Responsibility Office/ATTN FR5 PO Box 1498

Blythewood, SC 29016-0040 (803) 896-5000

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Filling out this form requires thoroughness. Make certain every single field is done correctly.

1. Whenever completing the fr 5 form scdmv, ensure to complete all important blanks in its corresponding form section. This will help expedite the process, allowing for your details to be processed quickly and accurately.

Part no. 1 for filling in FR-5A

2. Once your current task is complete, take the next step – fill out all of these fields - ALTERNATIVE CLEARANCE OPTION, ALTERNATIVE CLEARANCE OPTION, ALTERNATIVE CLEARANCE OPTION, I certify that the information, Owner Signature, SC Department of Motor Vehicles, and SC Driver License No with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Completing section 2 in FR-5A

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