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Get Sr 13 Form 1998-2024

accident occurred, the vehicle I was driving was not covered by liability insurance ZIP OTHER DID INJURED DIE? YES NO ADDRESS: STREET NO. 3. Form SR-23 (Fleet Policy) is on file with Department of Public Safety. 4. Your vehicle is a qualified carrier with Alabama Public Service Commission. STATE CITY ZIP 5. Department of Public Safety Self-Insurance Certificate No. DATE OF BIRTH SEX M F SIGNATURE INJURED WAS (Please Circle) DRIVER PASSENGER PEDESTRIAN OTHER DATE INFORMATION AND I.

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