sr22 filing alabama insurance

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To Learn More about SR22 Filings, who needs them, and how to get an SR22 filing to reinstate your driving privilege, Click Here. Request an SR22 Quote below and we can issue your SR22 filing the SAME DAY!



   
 

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How do I get an SR22 Filing to reactivate my Alabama's drivers license?

To get an SR22 Filing, you must purchase minimum liability coverage on the vehicle(s) you own. If you do not own a motor vehicle, you must purchase "non-owners" liability coverage.

The price of an SR22 is based on the severity of your driving record (accidents and violations), where you live, and the number of years of driving experience. If you do not know what is on your driving record, purchase it from DMV (usual cost is $10.00 to $15.00 per record).

Then you must purchase the proper kind of Automobile or Motorcycle Insurance. More Questions? E-mail us at: orharris@oldnationalinsurance.com



Old National Insurance, Inc.
806 Hwy 78 West
Jasper, AL 35501

E-Mail Address:
orharris@oldnationalinsurance.com>

Licensed in AL, GA, MS, other states
Phone# 1-205-221-5466
Fax# 1-866-497-8606

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or technical problems to: orharris@oldnationalinsurance.com

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Your Personal Data

Your Name:
City:
State:
Zip Code:
E-Mail (REQUIRED):
E-Mail again for accuracy:
Phone:
 
Marital Status:
Single Married
Homeowner?
Yes No
 
Currently Insured?
(If yes, list carrier, and # of years
continuous. If none, type N/C)


DRIVER INFORMATION #1
Name: Birthdate:
Sex (M/F): # Years U.S.
 Licensing:
Be specific to tell if accidents are "at-fault" or "NOT-at-fault" - (Insurance 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?
Yes No If YES to SR22 filing, why needed?
(list accident/cite)
If More than 1 Driver, list Additional Driver's name(s), birthdate(s) and diriving record information here:


VEHICLE #1 INFORMATION
Year of vehicle: Make & Model:
Vehicle ID# (for rating accuracy):
Annual Mileage: Used in business?
(Explain in remarks if yes):
NO YES
VEHICLE #1 COVERAGES:
Select Liability Limits
 
Select Comprehensive Deductible:
 
Select Collision Deductible:
 
Uninsured Motorists
Coverage?
YES NO
 
Rental Car &
Towing Coverage?
YES NO
 
Medical and/or
PIP Coverage?
YES NO
 
If More than 1 Vehicle, list Additional Vehicles Year, Makes, and Models here:
 
Comments or Remarks:
(List additional drivers, autos, etc. here)


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