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Complete a certificate of insurance. Fill out the insurance form that matches the type of service you provide.Complete and return this form with your completed International Undergraduate Application for admission. Applicant Information: (Please Print). To comply, please complete the Certificate of Financial Responsibility. Be sure to attach the required documents to this form. These forms can be obtained from the carrier's insurance company. 22 form is proof of future financial responsibility as required under Tennessee Code Annotated 5512114. Every legal driver is required to have evidence of financial responsibility (insurance). (a) Where financial responsibility is not established under § 540.