Check only one box per request: Insurance Information from File, Uninsured Motorist Certification or Photocopy of SR 1 Report.
Proper interest: a driver, his/her parent, employer, or legal guardian; authorized representatives for these individuals.
Also with proper interest: an injured party; an owner of vehicle/property damaged in the accident; courts; and law enforcement agencies.
Not named: if the subject is not named on an SR 1 report, information cannot be provided.
SR 1: if a Report of Traffic Accident Occurring in California (SR 1) form was not previously filed, you may complete one and attach it to this form.
Processing: please allow 30 days for processing.
| Question | Answer |
|---|---|
| Form Name | SR 19C |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 57 |
| Avg. time to fill out | 10 min |
| Edition | Rev 1/2017 |
| Where to send | Department of Motor Vehicles - Financial Responsibility (FR), P.O. Box 942884, Mail Station J237, Sacramento, CA 94284-0884 |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | SR 19C, SR19C, SR-19C, SR 19, SR19, Financial Responsibility Information Request, California DMV SR 19C |
| Official source | SR 19C (Rev 1/2017), California Department of Motor Vehicles |
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