Fr44 Form Florida PDF Details

In the realm of driving in Florida, certain circumstances necessitate a deeper financial responsibility than usual. This is where the FR44 Florida form steps into the picture, functioning as a robust declaration of one's commitment to maintaining high-limit car insurance coverage. Mandated by the Florida Department of Highway Safety and Motor Vehicles, specifically through its Division of Driver Licenses Bureau of Financial Responsibility, the FR44 form is not just another piece of paperwork; it is a critical legal requirement for those who have found themselves in specific situations that require them to prove financial responsibility. The form articulates the necessity for a motor vehicle liability insurance coverage that meets the stipulated amounts of 100k/300k/50k, shaping a strict framework for compliance with Section 324.023 of the Florida Statutes. Clearly outlined within the document are instructions for its completion and submission, a process that underscores the government's unyielding stance on upholding public safety and financial accountability among motorists. By furnishing details of the insured person and the insurance company, including the effective date of the certification, this form becomes a tangible testament to an individual's eligibility to drive under Florida's stringent regulations. Moreover, it demarcates the differences between an owner’s policy and an operator’s policy, catering to a wide array of vehicular affiliations while ensuring that every driver meets the state's high standards of financial responsibility.

QuestionAnswer
Form NameFr44 Form Florida
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names45 031 florida form, florida uniform financial responsibility certificate, accord fr 44 form florida, florida fr 44 financial

Form Preview Example

FLORIDA DEPARTMENT OF

HIGHWAY SAFETY AND MOTOR VEHICLES

Division of Driver Licenses

Bureau of Financial Responsibility

2900 Apalachee Parkway, MS98

Tallahassee, Florida 32399-0585

 

 

 

FLORIDA

 

 

 

 

 

 

UNIFORM FINANCIAL RESPONSIBILITY

 

 

 

 

 

CERTIFICATE FR-44

 

 

 

 

Purpose:

Use this form to comply with Florida’s Financial Responsibility Law, Section 324.023, Florida

 

 

Statutes for motor vehicle liability insurance coverage of 100k/300k/50k.

 

 

Instructions:

Send completed form to the Bureau of Financial Responsibility at the above address.

 

 

FR-44

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSURED PERSON INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

INSURED NAME (Last)

(First)

 

(Middle)

(Suffix)

 

 

 

 

 

 

 

 

 

 

 

STREET ADDRESS

 

 

 

CITY

 

STATE

ZIP CODE

 

 

 

 

 

 

 

 

 

DRIVER LICENSE NUMBER

 

BIRTH DATE (MM/DD/YYYY)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSURANCE COMPANY INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

INSURANCE COMPANY NAME

 

 

 

FR CASE NUMBER

 

 

 

 

 

 

 

 

 

 

NAIC CODE

 

POLICY NUMBER

 

 

 

CERTIFICATION EFFECTIVE DATE

 

 

 

 

 

 

 

 

 

 

 

This certification is effective on the above certification Effective Date and continues until cancelled or terminated in accordance with the financial responsibility laws and regulations of Florida. The insurance certified is provided by an:

OWNER’S POLICY – Applicable to the following described vehicle(s) and subject to the terms and conditions defined in the owner’s policy.

VEHICLE YEAR

VEHICLE MAKE

VEHICLE IDENTIFICATION NUMBER (VIN)

 

 

 

VEHICLE YEAR

VEHICLE MAKE

VEHICLE IDENTIFICATION NUMBER (VIN)

 

 

 

VEHICLE YEAR

VEHICLE MAKE

VEHICLE IDENTIFICATION NUMBER (VIN)

 

 

 

VEHICLE YEAR

VEHICLE MAKE

VEHICLE IDENTIFICATION NUMBER (VIN)

 

 

 

OPERATOR’S POLICY – Applicable to any vehicle not registered/titled to the above listed person and subject to the terms and conditions defined in the operator’s insurance policy.

The company signatory certifies that it has issued to the above named insured a motor vehicle liability policy as required by the financial responsibility laws of Florida, which policy becomes effective on the above Certification Effective Date.

 

AUTHORIZED REPRESENTATIVE SIGNATURE

DATE

 

 

 

 

 

74751 (S) (12/07)

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