Get Form Dpsmv 2048
D motorist, property owner or injured person may make a claim for the recovery of property damages and /or injuries resulting from a motor vehicle accident that occurred in Louisiana. If your vehicle was involved in this accident, you must provide proof that your vehicle was covered by liability insurance or other security at the time of the accident. DATE AND LOCATION OF ACCIDENT DATE OF ACCIDENT (MM/DD/YY) LOCATION OF ACCIDENT CITY PARISH PERSON SUBMITTING CLAIM (Your Vehicle) DRIVER'S NA.
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