Get Si-02 Application For Self Insurance - Nevada Department Of Motor ... - Dmv Nv

Completing the SI-02 Application for Self Insurance is an essential step for individuals or businesses seeking to self-insure their motor vehicles in Nevada. This guide provides a clear, step-by-step process to help users successfully fill out and submit the application online.

Follow the steps to complete your application effectively.

1. Press the ‘Get Form’ button to access and open the SI-02 Application for Self Insurance in your preferred online document editor.
2. Fill in the assigned self-insurance certificate number, if applicable. If you are a new applicant, you may leave this section blank.
3. Complete the 'Self-Insurance Applicant' section by entering your business's DBA name and mailing address, ensuring all fields are filled out clearly, including street, city, state, and zip code.
4. Provide your physical address and business telephone and fax numbers. Ensure that these details are accurate and up-to-date.
5. Indicate your business structure by selecting one of the options: Individual, Sole Proprietorship, Partnership, LLP, LLC, or Corporation. Fill in the state of incorporation if applicable.
6. If you are submitting a joint application, attach a notarized copy of the indemnity agreement as instructed.
7. List the ownership information by providing the name and title of each officer in your business. If necessary, use a separate page for this information.
8. Select the reason for submission. Mark whether it is an original application, renewal, or changes to business ownership, name, address, or officer(s). Specify old and new information if applicable.
9. Answer all required questions thoroughly with 'Yes' or 'No' where indicated. Provide explanations as needed for any 'Yes' responses.
10. Confirm you have included any supporting documents mentioned (e.g., CPA Affidavit of Audit and Current Financial Ratio, Self-Insurance Loss Experience Record form).
11. Sign the application at the bottom, including your printed name, title, and date. Ensure that the individual signing has the authority to do so.
12. If required, complete the notarization section. A notary public must sign and date this section if applicable.
13. Once completed, you can save your changes, download the application, print it, or share it as needed.

Start filling out the SI-02 Application for Self Insurance online today to ensure your self-insurance needs are met.