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SR22 Quote

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Type of Insurance:

What Is SR22 Insurance?

Simply stated, an SR-22 is a document that shows proof of financial responsibility. You'll need an SR-22 if the police caught you driving without insurance, and you'll be required to carry the SR-22 for a specified amount of time (usually three years). Once you properly fulfill that time period, your SR-22 status expires.

SR-22s also are associated with the following:

  • DUI or DWI or any serious moving violation
  • At-fault accidents while driving without insurance
  • Repeat traffic offenses or getting too many tickets in a short time period
  • License suspension or revoked license

How Long Do I Need an SR-22?

Expect a long relationship with your SR-22 — most likely three years — similar to a probationary period after a criminal offense. You must carry continuous insurance during the specified period of time before SR-22 status is removed. If your policy lapses or is canceled, your auto insurance company is required to notify the state immediately and your license will be suspended again.

Details and Specifics:

We'll file the actual SR-22 form with your state's Department of Motor Vehicles (DMV) to show proof of insurance for you. Once we file your SR-22, your license suspension will be lifted and you can drive again legally.

SR-22s are state specific — what's required in one state may not apply in another state.

Requirement:

If you currently carry an SR-22 in one state but move to another state, you must fulfill the SR-22 filing period for your former state, even though you no longer reside there. Also, your insurance policy for your new state must have liability limits which meet the minimums required by law in your former (SR-22) state.

The overall message:

Though the SR-22 concept is similar from state to state, you always should check with your insurance company or agent to verify SR-22 specifics for your state.

SR22 Quote Form

One Simple Form - takes only 2-3 Minutes!


Your Personal Data

Your Name:
Street Address:
City:
State: (Must be Florida)
Zip Code:
E-Mail (REQUIRED):
E-Mail again for accuracy:
Phone:
Fax (Optional):
Primary Insured's Occupation:
Marital Status:
Homeowner?

Currently Insured?
(If yes, list carrier, and # of years continuous. If none, type N/C)

DRIVER INFORMATION #1

Name:
Sex (M/F):
# Years U.S. Licensing:

Be specific to tell if accidents are "at-fault" or "NOT-at-fault" - (carriers require proof on NOT-at-fault accidents); Also, be specific as to TYPE of violations in fields below:

Number & Type of Accidents last 3 years:
Number & Type of MINOR violations last 3 years:
Number & Type of MAJOR violations last 3 years:
Daily commute in ONE WAY miles:
Does Driver need an SR22 FILING?
If YES to SR22 filing, why needed? (list accident/cite):
Give details on all violations or accidents:

DRIVER INFORMATION #2

(if none, leave blank)

Name:
Sex (M/F):
# Years U.S. Licensing:

Be specific to tell if accidents are "at-fault" or "NOT-at-fault" - (carriers require proof on NOT-at-fault accidents); Also, be specific as to TYPE of violations, and approximate DATES of each in the fields below:

Number & Type of Accidents last 3 years:
Number & Type of MINOR violations last 3 years:
Number & Type of MAJOR violations last 3 years:
Daily commute in ONE WAY miles:
Does Driver need an SR22 FILING?
If YES to SR22 filing, why needed? (list accidentite):
Comments or Remarks?:
Give details on all violations or accidents:
If More than 2 Drivers, list Additional Driver's Names, and driving record history here:

VEHICLE #1 INFORMATION

(if "Non-Owners", type "NON-OWNER" in "YEAR" Field)

Year of vehicle:
Make & Model:
Vehicle ID# (for rating accuracy):
Annual Mileage:
Used in business? (Explain, if yes):

VEHICLE #1 COVERAGES

Select Liability Limits:
Select Comprehensive Deductible:
Select Collision Deductible:
Uninsured Motorists Coverage?
Rental Car & Towing Coverage?
Medical and/or PIP Coverage?

VEHICLE #2 INFORMATION

(if none, leave blank)

Year of vehicle:
Make & Model:
Vehicle ID# (for rating accuracy):
Annual Mileage:
Used in business? (Explain, if yes):

VEHICLE #2 COVERAGES

Select Liability Limits - - - Liability Limits Must Match Vehicle #1 - - -
Select Comprehensive Deductible:
Select Collision Deductible:
Uninsured Motorists Coverage?
Rental Car & Towing Coverage?
Medical and/or PIP Coverage?

Comments or Remarks:
(List additional drivers, autos, etc. here)

If More than 2 Vehicles or Drivers, list Additional Vehicles Year, Makes, and Models, and Driver's Ages and Driving records here:
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