Letter of Submission Template. Beginning in 2020, the Secretary of State will begin an Electronic Liability Insurance Verification program for vehicles registered in Illinois.Read your Policy carefully. The SR-22 must be submitted on a Financial Responsibility Certificate from the home office of the insurance company. Need to report a claim? We can walk you through the process online or you can call 1-800-468-3466. LifeShield Life Insurance Forms, Request for service forms include: IAC Life Insurance Forms, Request for service forms include: Pacific Group Life Forms. You can fill out your renewal form online through your Manage My Case portal. Complete this page if you are applying for cash or medical benefits and anyone listed on this application is offered health coverage from a job. Find everything you need to manage your account in the top right corner under the Client Resources tab.