Tennessee Driver Form PDF Details

Form TN-DDS-BK, also referred to as the Tennessee Driver's License or Driver Form, is an essential document for anyone who operates a motor vehicle in the state of Tennessee. This form must be carried with you while driving, and can be used as proof of identity and driver's license. The TN-DDS-BK is available from the Department of Safety and Homeland Security. For more information on how to obtain this form, please visit the department's website. Thank you for your interest in obtaining a Tennessee Driver Form.

Listed here, you can find some specifics about tennessee driver form PDF. This table provides details about the form's length, completion duration, and the parts you can be needed to fill.

QuestionAnswer
Form NameTennessee Driver Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesdepartment tn were, tn owner operator report, file online accident report nashville tn, tennessee department of safty and homeland security owner driver form

Form Preview Example

TENNESSEE DEPARTMENT OF SAFETY

AND HOMELAND SECURITY

OWNER / DRIVER REPORT

IMPORTANT: COMPLETE FORM BELOW AND MAIL TO: TN DEPARTMENT OF SAFETY AND HOMELAND SECURITY P.O. BOX 945

NASHVILLE, TN 37202

DATE OF CRASH: _______________

PLACE OF CRASH: ______________________ __________________

(month/day/year)

(City)

(County)

VEHICLE MAKE _________________ VEHICLE YEAR __________ TYPE VEHICLE ________________________

NAME OF OPERATOR __________________________________________________ DOB ___________________

(Last)

(First)

(Middle)

ADDRESS ____________________________________________________________________ ZIP ____________

(Street)

(City)

(State)

DRIVER LICENSE NO: ___________________________ STATE ___________ EXPIRATION DATE ____________

NAME OF OWNER _____________________________________________________ DOB ___________________

(Last)

(First)

(Middle)

ADDRESS _____________________________________________________________________ ZIP ___________

(Street)

(City)

(State)

DRIVER LICENSE NO: ___________________________ STATE ___________ EXPIRATION DATE ____________

WERE THERE INJURIES OR DEATH INVOLVED IN THIS CRASH? ______ YES ______NO

DAMAGES TO YOUR VEHICLE: ____________________ LESS THAN $400 __________________ OVER $400.

IF OVER $400, ENTER AMOUNT _____________________.

IF AVAILABLE, LIST FOLLOWING INFORMATION ON OTHER DRIVER INVOLVED IN THIS CRASH:

___________________________________________________________________________________________

(Last Name)(First Name)(Middle Initial)(Driver License Number)

DID YOU HAVE LIABILITY INSURANCE COVERAGE FOR THIS CRASH? YES_______ NO ______

IF YES, PROVIDE COMPLETE INFORMATION BELOW:

NAME OF INSURANCE COMPANY (NOT AGENCY) __________________________________________________

ADDRESS ____________________________________________________________________ ZIP ____________

(Street)

(City)

(State)

POLICY NUMBER ____________________________ POLICY PERIOD: FROM ____________ TO ____________

NAME OF POLICYHOLDER ______________________________ ADDRESS ______________________________

NAME OF INSURANCE REPRESENTATIVE (AGENCY) WHO ISSUED POLICY ____________________________

ADDRESS ____________________________________________________________________ ZIP ____________

(Street)

(City)

(State)

NOTE: THE INSURANCE INFORMATION YOU PROVIDE WILL BE FORWARDED TO THE INSURANCE COMPANY FOR VERIFICATION.

____________________________________________ _____________________

(Signature)

(Date)

SF-0395 (Rev. 2/14)

TENNESSEE DEPARTMENT OF SAFETY AND HOMELAND SECURITY

OWNER / DRIVER REPORT

As set forth under the provisions of 55-12-104, T.C.A., you must file, or have filed in your behalf, a personal report with the Department of Safety, if you were involved in an automobile crash as an owner or driver involving death or injury, or in which damage to property was in excess of four hundred dollars ($400) to any person involved. This report is required regardless of who was at fault and in addition to any report filed by an investigating officer.

Failure to file a personal crash report with the Tennessee Department of Safety and Homeland Security may result in the suspension of driver license and registrations or nonresident operating privileges of any person involved in a crash.

Your report must be submitted to the Department within twenty (20) days from the crash. You can satisfy this requirement by completing the reverse side of this from and mailing it to the Tennessee Department of Safety and Homeland Security, P.O. Box 945, Nashville, TN 37202. If you have any questions, please call toll-free (866) 903-7357 or the Telecommunications Device for the Deaf (615) 532-2281.

Thank you for your cooperation.

TENNESSEE DEPARTMENT OF SAFETY AND HOMELAND SECURITY

SF-0395 (Rev. 2/14)

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