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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 accident/cite)
VEHICLE #1 INFORMATION (if "Non-Owners", type "NON-OWNER" in "YEAR" Field)
Year of vehicle:
Make & Model:
Vehicle ID# (for rating accuracy):
Used in business? (Explain, if yes):
VEHICLE #1 COVERAGES:
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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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SR22InsuranceCalifornia.com is a dedicated team of highly qualified professionals committed to finding the best coverages and prices for your California SR22 Filing auto insurance. We give instant SR22 Filing insurance quotes, and fast online SR 22 Filing insurance quotes for all California drivers. Some of the keywords which can be used to find our services include: California SR 22 filing Insurance, CA SR 22 filing Insurance, California SR22 insurance, CA SR22 insurance, California sr22 filing auto insurance plans and SR22 car insurance, CA SRfiling insurance, low cost California SR22 Insurance quotes, discount CA Sr22 filing auto insurance, online California auto insurance quotes, California SR22 filing Insurance quotes.