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Click ‘Get Form’ to open the SR 19C in the editor.
In Section A, check the box for the type of information you are requesting: Insurance Information, Uninsured Motorist Certification, or a photocopy of the SR 1 Report.
Move to Section B and provide your name and address in the designated box. If applicable, fill in your Vendor Requester Code and explain your interest in the accident by checking the appropriate box.
In Section C, enter the date of your request, accident date, and location. Provide details about yourself or your client involved in the accident, including driver license number and birth date.
Complete Section D with information about the subject of inquiry, including their name, birth date, address, and driver license number.
In Section E, certify under penalty of perjury that all provided information is true by signing and dating this section.
Start filling out your SR 19C form online for free today!
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Vehicle or Drivers Records Requests - California DMV - CA.gov
DMV Report of Traffic Accident Occurring in California (SR 1) form, submit a completed Financial Responsibility Information Request (SR 19C) (PDF) and $20.Read more
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