Letter of Submission Template. Beginning in 2020, the Secretary of State will begin an Electronic Liability Insurance Verification program for vehicles registered in Illinois.You will be required to fill out an electronic affidavit along with your elec- tronic signature. To obtain an SR-22, you must contact an insurance company authorized to write SR-22 policies for Illinois. The forms in this online library are updated frequently—check often to ensure you are using the most current versions. Please show your Blue Cross and Blue Shield identification card to the hospital or doctor. Most providers will file for you. Fill out the 1095B Request Form, then attach the completed form to an email message. Find health insurance forms for customers including medical and dental claims forms, authorization forms, appeals, pharmacy forms, and more. You will receive an initial letter from the State telling you that your redetermination form is on the way.