Please rate Mva Form Icd 071 06-23
Section 1 is the Owner's Information and Statement of Facts; Section 2 is the Witness Statement of Facts.
Parking: the form states where the vehicle was parked during this time and the reasons; supporting documents should be attached to this form.
Who signs: Signature of Owner and Signature of Co-Owner; Witness Signature of Witness A or Repair Facility and of Witness B.
Witnesses: each certifies under penalty of perjury that the vehicle owner's statements are true and correct to the best of their knowledge, information and belief.
For more information: call 410-768-7000 (to speak with a customer agent); TTY for the hearing impaired: 1-800-492-4575.
| Question | Answer |
|---|---|
| Form Name | ICD-071 |
| Form Length | 1 page |
| Fillable? | Yes |
| Fillable fields | 40 |
| Avg. time to fill out | 7 min |
| Edition | 06-23 |
| For more information | Call 410-768-7000 (to speak with a customer agent) |
| Other names | ICD-071, ICD071, ICD 071, Form ICD-071, MVA ICD-071, Maryland Vehicle Insurance Compliance Program Certified Statement |
| Official source | ICD-071 (Rev 06-23), Maryland Motor Vehicle Administration |
Mva Form Icd 071 isn’t the one you’re looking for?
Please rate Mva Form Icd 071 06-23
