Mandatory Liability Insurance Affidavit


Name of Registrant
Address
City
State   Zip

Make
Model
Year
Vehicle Identification Number
Tag Number

One of the following three items is required by current Alabama law:
1. *Alabama Driver License Number:

2. Per Section 32-6-4 an Alabama non-driver ID number is required if registered owner does not have a driver license.
Alabama Non-driver ID Number:

3. If commercial entity, complete the following:
Commercial FEIN Number:

Your daytime phone number.



 
  








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