Fillable INSURANCE IDENTIFICATION CARD

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INSURANCE IDENTIFICATION CARD

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The INSURANCE IDENTIFICATION CARD form is 1 page long and contains:

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Country of origin: OTHERS
File type: PDF

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INSURANCE IDENTIFICATION CARD
(STATE)
COMPANY NUMBER COMPANY
POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE
YEAR MAKE/MODEL VEHICLE IDENTIFICATION NUMBER
AGENCY/COMPANY ISSUING CARD
INSURED
SEE IMPORTANT NOTICE ON REVERSE SIDE
THIS CARD MUST BE KEPT IN THE INSURED
VEHICLE AND PRESENTED UPON DEMAND
IN CASE OF ACCIDENT: Report all accidents to your Agent/Company as
soon as possible. Obtain the following information:
1. Name and address of each driver, passenger and witness.
2. Name of Insurance Company and policy number for each
vehicle involved.
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INSURANCE IDENTIFICATION CARD

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Completed 11 November 2021

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