Get Insurance Certification

Filling out the Insurance Certification document is an important step for individuals participating in Minnesota's Ignition Device Interlock Program. This guide provides clear instructions to help you complete the form accurately online.

Follow the steps to fill out the Insurance Certification online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the driver's information in the designated fields. You will need to provide the driver's full name, date of birth in the format mm/dd/yy, and their driver's license number along with the state of issue.
3. Next, move on to the insurance information section. Here, you will fill in the name of the insurance company, the policy number, and the effective date of the policy in mm/yy format.
4. In the 'Describe the vehicle below' section, provide the vehicle's year, make, current plate number, state of issue, and the vehicle identification number (VIN).
5. An authorized representative of the insurance company must sign the form. Remember, this must not be the agent but an authorized individual from the insurance company itself.
6. Make sure the document is stamped by the insurance company or ensure it is sent directly via fax from the insurance company for verification purposes.
7. Once all the information has been accurately filled out, review the document for any errors or missing information. After confirming that everything is correct, save any changes made to the form.
8. Finally, choose to download, print, or share the completed form as necessary. You should also fax it to (651) 797-1299 or mail it to the provided address for Driver and Vehicle Services.

Complete your documents online today and ensure your participation in the Ignition Device Interlock Program.