License applicant financial responsibility liability insurance certificate 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the name of the insurance company and its mailing address, including city, state, and zip code.
3. Fill in the name of the licensee along with their home address details. Ensure accuracy for proper identification.
4. Provide the company business name and its mailing address, again ensuring all fields are completed correctly.
5. In the coverage section, confirm that the policy meets North Carolina's minimum liability limits: $50,000 for bodily injury per person and $20,000 for property damage.
6. Enter the policy number and effective dates of coverage in the designated fields.
7. Have the insurance agent print their name, agency name, and address. The agent must also sign and provide their license number.
8. Finally, ensure a notary public completes their section to validate the document before submission.

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