Claim Form

Upload Section 1: Traffic Violations or Tickets

Please upload one or more of the following documents related to traffic violations or tickets: Copy of the issued ticket, violation notice from the DMV or law enforcement, court summons (if applicable).

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Upload Section 2: Proof of Ownership

Provide documents that verify vehicle ownership. Accepted documents include: Vehicle title or bill of sale, lease agreement (if the vehicle is leased), lienholder authorization letter (if applicable).

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Upload Section 3: Insurance-Related Claims

Upload documents related to insurance claims for the vehicle: Proof of insurance document, insurance claim acknowledgment or denial letter.

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Upload Section 4: Proof of Identity

Provide identification documents to verify your identity. Accepted documents include: Driver's license or state-issued ID (redacted for sensitive information), passport (if requested).

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Upload Section 5: Legal or Miscellaneous Claims

If your claim involves legal or miscellaneous matters, upload relevant documentation: Attorney’s letter or court order (if legal action is involved), any communication from the DMV or government agencies.

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