Proof Of Insurance {RI-TR009}

RI-TR009 - PROOF OF INSURANCE. If you were cited for an insurance violation and are submitting proof of insurance, complete this form and attach a copy of your insurance policy. The insurance policy must include: • Name of the insurance carrier. • Policy number. • Effective date of coverage showing insurance coverage at the time you were cited and including the expiration date. • Name of person who received the citation and/or the vehicle listed on the citation. If you were cited for failure to provide proof of insurance or financial responsibility pursuant to Vehicle Code § 16028(a), you have the following options: 1) If you had insurance at the time the citation was issued, but were unable to provide proof to the officer who cited you, the violation is dismissible with proof of insurance and a $25.00 correction fee. 2) If you obtain proof of insurance after the date of violation, the court may reduce your fine amount. 3) If you do not provide proof of insurance, you will be required to pay the full fine amount. Note: Insurance violations cited under Vehicle Code section 16028(c) will not be reduced or dismissed. You may file this form by fax to (951) 777-3350 or mail this form to the court where you were cited to appear. A fax filing fee of $1.50 per page and a facsimile cover sheet (RI-MC005) is required. www.FormsWorkflow.com