Fs 25 Form PDF Details

Securing information about insurance coverage in the aftermath of a vehicle accident in New York State is facilitated by the FS-25 form, a crucial document that serves a pivotal role in the exchange between individuals and insurance entities. Located within the Certified Document Center in Albany, the form outlines a procedure for requesting insurance details for vehicles involved in accidents. With a mandatory search fee of $10.00, as stipulated by law, which is non-refundable and payable to the Commissioner of Motor Vehicles, this process ensures that requests are both formal and traceable. Individuals must provide comprehensive accident details along with their contact information to initiate the search. By design, the form acts as a gateway for accident victims to access insurance information, which is essential for claim resolution. Upon submission and verification that the vehicle was insured at the accident's time, the Department of Motor Vehicles (DMV) will relay the insurance company's name to the requester. Conversely, if a vehicle was uninsured, or if there is an issue in verifying the insurance status, the DMV engages further by either facilitating direct communication with the insurance company for claims resolution or involving the Insurance Services Bureau for additional review. This layered approach underscores the New York State's commitment to ensuring that victims of vehicle accidents can efficiently navigate the aftermath of such incidents, highlighting the form's significance beyond its administrative function.

QuestionAnswer
Form NameFs 25 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesny dmv request, how to request insurance, request insurance, form fs 25

Form Preview Example

REQUEST AND REPLY FOR NEW YORK INSURANCE INFORMATION

Certified Document Center

6 Empire State Plaza

Albany, New York 12228

” PRINT YOUR NAMEAND RETURNADDRESS BELOW ”

* THERE ISA$10.00 SEARCH FEE REQUIRED BY LAW *

 

PAYMENT METHOD

DO NOT SEND CASH

 

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Payable to the “Commissioner of Motor Vehicles”

 

 

 

 

 

 

DaytimePhoneNumber(required):

If you have been in an accident with a vehicle that is registered in New York State and you need insured the vehicle, please provide the information in all of the fields marked “REQUIRED” on form with a $10.00 search fee to the address listed at the top of this form. You must include a reportoftheaccident.

the name of the company that this form. Send the completed copy of the motorist or police

ENTER THE INFORMATION NEEDED TO COMPLETE THE INSURANCE SEARCH (* REQUIRED)

*teoentnte

*enoee

/ /

*ent’

*teue

teo (Month/Day/Year)

/ /

Ifourrecordsshowthatthevehiclewasproperlyinsuredonthedateoftheaccident,wewillsendyouthenameofthe insurancecompany.Youmustthencontacttheinsurancecompanytoresolveyourclaim.Iftheinsurancecompanytells youthevehiclewasnotinsuredonthedateoftheaccident,youmustgetaletterfromtheinsurancecompanydenying coverage. DMVwillreviewtheinformationandtakeappropriateaction.

Ifourrecordsshowthatthevehicledidnothaveinsurancecoverageonthedateoftheaccident,wewillnotifyyou.Your requestandaccidentreportwillbeforwardeddirectlytotheInsuranceServicesBureau.

DMV USE ONLY ” YOUR REPLY FROM THE DEPARTMENT OF MOTOR VEHICLES ISAS FOLLOWS ” DMV USE ONLY

Onthedateofaccidentrequested,DMV’srecordsshowinsurancecoveragewasineffectwith:

InsuranceCompany:

PolicyNumber:

(ifavailable)

UPDATED InsuranceInformation(thisupdatespreviousinsuranceinformation):

IF THE INSURANCE COMPANY DENIES COVERAGE FOR THISACCIDENT, SENDACOPY OF THE COMPANY’S DENIAL LETTER

ANDACOPY OF THEACCIDENT REPORT TO: Insurance Services Bureau, 6 Empire State Plaza,Albany, NY 12228.

)

PAGE 1 OF 2

continued

PAGE 2 OF 2

DMV USE ONLY ”YOUR REPLY FROM THE DEPARTMENT OF MOTOR VEHICLES ISAS FOLLOWS ” DMV USE ONLY

A.

We are unable to determine if insurance was in effect on the date of accident. Your request and accident report have beenforwardedtotheInsuranceServicesBureauforfurtherreview.Youwillbenotifiedwithin90days.

B.

C.

D.

E.

F.

Your$10.00feeisbeingreturnedbecauseitwasaccompaniedwithadenialletter.Thereisnofeeduewhenthe companyisdenyingtheclaimfor“noinsurance”.YourrequesthasbeenforwardedtotheInsuranceServicesBureau forfurtherreview.Youwillbenotifiedwithin90days.

Insuranceinformationisnotavailableforthereasoncheckedbelow:

Thevehicleisregisteredoutofstate.Youmustcontactthatstateforinsuranceinformation.

Theinsuranceinformationisbeyondtheretentionperiodasrequiredbylawandhasbeenpurged.

ThevehicleisexemptfromNYScompulsoryfilingrequirementsbecausethevehicleisregisteredtoaGovernment Agency(insurancecode994).Youmustcontacttheregistranttoresolvethismatter.

Thereisnorecordoftheplatenumberyouprovided.

Your search for insurance information has been completed. We are returning it to you for the reason checked below. Please returnthisFS-25formandtheaccidentreportto:

Insurance Services Bureau

6 Empire State Plaza

Albany, NY 12228

Weareunabletodetermineifinsurancewasineffectonthedateofaccident.InorderforDMVtoissuearevocation againsttheregistrantand/orthedriver,weneedacopyofthepoliceaccidentreport(formMV-104AorMV-104AN). Ifoneisnotavailable,pleasecompleteanMV-104form(availableatdmv.ny.gov).

Insurancecoveragewasnotineffectonthedateofaccident.InorderforDMVtoissuearevocationagainstthe registrantand/orthedriver,weneedacopyofthepoliceaccidentreport(formMV-104AorMV-104AN).Ifoneis notavailable,pleasecompleteanMV-104form(availableatdmv.ny.gov).

Theaccidentinvolvedahit-and-runvehicle.Inordertoprocessyourrequest,wemustreceiveapolicereport (MV-104AorMV-104AN)whichspecifiesthevehicleyear,make,andnameofregistrant.

We are unable to process your search request for insurance information and are returning it to you for the reason(s) checked. PleaseresubmitfeeandcompletedFS-25to:

Certified Document Center

6 Empire State Plaza

Albany, NY 12228

Therequired$10.00searchfeewasnotincluded.

Thereisnotenoughinformationtoprocessyourrequest.Pleasecompletethehighlightedboxesonthefront ofthisform.

Other:

RESET/CLEAR

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This document will need specific data to be filled in, therefore be sure to take the time to type in precisely what is requested:

1. The form fs25 will require certain information to be typed in. Ensure that the subsequent blank fields are complete:

Stage no. 1 for filling out fs 20 form

2. Immediately after the previous part is filled out, go to type in the suitable details in all these: Registrants Last Name, First, Date of Birth MonthDayYear, cid If our records show that the, insurance company You must then, cid If our records show that the, request and accident report will, DMV USE ONLY, YOUR REPLY FROM THE DEPARTMENT OF, DMV USE ONLY, On the date of accident requested, Insurance Company, Policy Number, and if available.

fs 20 form completion process explained (portion 2)

3. Completing UPDATED Insurance Information, IF THE INSURANCE COMPANY DENIES, AND A COPY OF THE ACCIDENT REPORT, and PAGE OF is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Tips to complete fs 20 form part 3

Those who work with this PDF frequently make some errors when completing IF THE INSURANCE COMPANY DENIES in this area. Be certain to read twice everything you type in here.

4. The next subsection arrives with all of the following form blanks to complete: DMV USE ONLY, YOUR REPLY FROM THE DEPARTMENT OF, DMV USE ONLY, A We are unable to determine if, been forwarded to the Insurance, B Your fee is being returned, company is denying the claim for, Insurance information is not, The vehicle is registered out of, Agency insurance code You must, There is no record of the plate, D Your search for insurance, return this FS form and the, and Insurance Services Bureau Empire.

Learn how to fill in fs 20 form portion 4

5. To wrap up your document, this particular part has a couple of additional fields. Filling out Insurance Services Bureau Empire, We are unable to determine if, Insurance coverage was not in, The accident involved a hitandrun, We are unable to process your, Certified Document Center Empire, and The required search fee was not is going to finalize the process and you're going to be done in a tick!

Completing segment 5 of fs 20 form

Step 3: Ensure the details are right and press "Done" to complete the task. Join FormsPal now and instantly obtain form fs25, available for downloading. Every single edit you make is handily saved , allowing you to customize the form further as needed. FormsPal is devoted to the personal privacy of our users; we make sure that all personal information handled by our tool stays secure.

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