Fr31 A Details

Listed below are some details you might like to examine before starting dealing with the fr 31 south carolina dmv.

QuestionAnswer
Form NameFr 31 South Carolina Dmv
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesfr31 form sc, form fr 31a, fr 31 dmv, fr 31 south carolina

Form Preview Example

South Carolina Department of Motor Vehicles

Response to Insurance Verification Request

FR-31A

(Est. 6/06)

Note: If the FR31 Notice is not included with this response, please include all information in this section as listed on the FR31 form.

FR31 Reference No:

DateofRegistration:

DateofSuspension:

Customer No:

Driver License No:

Customer Name

 

 

Year/Make

VIN No.

Tag No.

INSURANCE (to be completed by insurance company or agent)

Your agent or insurance company can electronically submit your insurance information to DMVusing 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.

Name of Company

NAIC Code

 

 

 

PolicyNumber

 

 

 

 

VIN No.

 

Vehicle Coverage Effective

 

TO

 

 

 

 

 

 

 

 

 

 

 

 

SignatureofAuthorizedRep.

 

 

 

 

 

 

 

 

 

Date Signed

 

 

 

 

Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VEHICLE SOLD/TRADED (to be completed by customer)

If the vehicle on this notice has been sold or traded, please complete the information below. Providing notification to

DMV that the vehicle has been sold/traded will result in the immediate cancellation of the vehicle title for your

protection.

 

Check One:

Vehicle Sold

Date Sold/Traded

Vehicle Traded

TAGTRANSFER ( to be completed by customer)

If you recently transferred the tag listed on this notice to a newly purchased vehicle, please submit a copy of the bill of

sale for the new vehicle along with this notice to the address below.

Date Transferred

FR4K MILITARYSERVICE/ILLNESS STATEMENT (to be completed by customer)

If your insurance was cancelled because of military obligations or illness and your vehicle has not been operated upon roads, streets or highways of this state during the lapse or termination of liability insurance, you must submit a completed FR-4K Military Service/Illness Statement along with this notice to the address below. This statement can be obtained at www.scdmvonline.com.

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

Owner Signature

 

S.C. Driver License No.

Documents may be mailed to: S.C. Department of Motor Vehicles Financial Responsibility Office/ATTN FR4 P.O. Box 1498

Blythewood, S.C. 29016-0040 (803) 896-5000

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