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Get OH BMV 3303 2013

ACCIDENT INFORMATION MUST HAVE OCCURRED IN OHIO ACCIDENT DATE TIME NUMBER OF VEHICLES LOCATION STREET LOCATION CITY POLICE REPORT TAKEN PLEASE INCLUDE COPY Yes No DRIVER TO BE SUSPENDED MINIMUM OF 3 IDS REQUIRED THAT MATCH BMV RECORDS NAME PHONE ADDRESS CITY STATE YEAR OF VEHICLE MAKE OF VEHICLE LICENSE PLATE NUMBER OHIO DRIVER LICENSE NUMBER SSN DOB ZIP OWNER OF VEHICLE TO BE SUSPENDED MINIMUM OF 3 IDS REQUIRED THAT MATCH BMV RECORDS DRIVER OF DAMAGED VEHICLE OWNER OF DAMAGED VEHICLE BMV 3303 6/17 760-0998 Page 1 of 2 CLAIM INFORMATION IF YOU ARE AN INDIVIDUAL HANDLING YOUR OWN CLAIM PLEASE CHECK HERE YOUR INFORMATION WILL BE GIVEN TO THE OTHER PARTY TO MAKE RESTITUTION. NOTE YOU SHOULD NOT COMPLETE THIS FORM IF YOUR INSURANCE COMPANY IS HANDLING THE CLAIM. OHIO DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES CRASH REPORT The owner or driver or insurance company representative of an insured vehicle that is involved in a crash with an uninsured vehicle may file this report with the Bureau of Motor Vehicles BMV. In order to suspend the driving privileges of the uninsured party ALL of the following are required This report must be received by the BMV within six months of the date of the crash. The crash must have occurred in Ohio. Property damage must exceed 400 or there must be personal injury. A minimum of three identifiers that match BMV records name address date of birth Ohio Driver License Number SSN are required for the party that is to be suspended* An itemized estimate or bill for property damage MUST be included* For personal injury form must be completed and documentation of injuries must be provided* Proof of payment is required for amounts over 500. INSURANCE COMPANY POLICY NUMBER CLAIM NUMBER OFFICE HANDLING CLAIM FILE NUMBER PROPERTY DAMAGE INFORMATION MUST INCLUDE ESTIMATE AND EXCEED 400 AMOUNT OF CLAIM PERSONAL INJURY INFORMATION MUST INCLUDE DOCUMENTATION* PROOF OF PAYMENT IS REQUIRED FOR AMOUNTS OVER 500 DRIVER OWNER PASSENGER SIGNATURE OF PERSON COMPLETING FORM REQUIRED DATE X Your signature and the filing of this report is a confirmation that the driver or owner of the damaged vehicle was insured at the time of the crash and the other party did not have insurance or another form of financial responsibility at the time of the crash. MAIL COMPLETED REPORT TO OHIO BUREAU OF MOTOR VEHICLES ATTN COMPLIANCE UNIT P. O. BOX 16583 COLUMBUS OH 43216-6583 REPORTS WILL NOT BE PROCESSED LESS THAN 30 DAYS FROM THE DATE OF ACCIDENT PLEASE ALLOW 10 BUSINESS DAYS FOR PROCESSING. OHIO DEPARTMENT OF PUBLIC SAFETY BUREAU OF MOTOR VEHICLES CRASH REPORT The owner or driver or insurance company representative of an insured vehicle that is involved in a crash with an uninsured vehicle may file this report with the Bureau of Motor Vehicles BMV. In order to suspend the driving privileges of the uninsured party ALL of the following are required This report must be received by the BMV within six months of the date of the crash. In order to suspend the driving privileges of the uninsured party ALL of the following are required This report must be received by the BMV within six months of the date of the crash. The crash must have occurred in Ohio. Property damage must exceed 400 or there must be personal injury. .

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Keywords relevant to OH BMV 3303

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