DES-017 (Rev. 4/2007) By Authority of 2006 PA 384 Michigan Department of State (517) 241-6850 Michigan Department of State Licensing Unit Lansing, MI 48918 Driver Education Provider Liability Insurance.
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How to fill out the Driver Education Provider Liability Insurance Certificate (DES-017) - Mi online
Filling out the Driver Education Provider Liability Insurance Certificate (DES-017) is a vital step for any driver education provider to ensure compliance with Michigan state regulations. This guide will provide clear, step-by-step instructions on completing the form effectively online.
Follow the steps to complete your insurance certificate.
- Click ‘Get Form’ button to access the Driver Education Provider Liability Insurance Certificate (DES-017) online.
- Begin by entering the name of the driver education provider in the designated field. Ensure that the name matches the official records to avoid discrepancies.
- Provide the complete address of the driver education provider, including street, city, state, and zip code, in the specified areas.
- Next, input the name and address of the insurance company in the respective fields. Make sure that this information is accurate and reflects the coverage provider.
- Specify the name of the insurance carrier or agent responsible for the policy in the dedicated section.
- Fill in the amounts of liability coverage for bodily injury or death for one person ($100,000.00 minimum) and for two or more persons ($300,000.00 minimum), ensuring that the minimum requirements are met.
- Indicate the amount for property damage liability coverage, which must be at least $50,000.00.
- Input the beginning and ending dates of the insurance coverage in the provided fields, ensuring that they align with your policy terms.
- Enter the policy number as it appears on your insurance documentation, ensuring accuracy for proper identification.
- Review the statement agreeing to provide the Department of State with 30-day written notification should there be any cancellation of coverage by either the insured or the insurance company.
- The authorized insurance representative must sign the form in the designated signature area, followed by the date of signing.
- Once all fields are completed, you can save your changes, download, print, or share the finished form as required.
Complete your Driver Education Provider Liability Insurance Certificate online today!
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