Insurance Compliance Forms

Application for Issuance of Farm Area Vehicle Tags or Island Tags (Form #VR-331) for farmers with vehicles the only operate on the farm or within a 25 mile radius of the farm.

Certificate of Facts Relative to Judgement (Form #ICD-022) is used ONLY by attorneys to file a judgement against an uninsured motorist. Please complete and return this form along with the Certified Copy of Judgement attached to the Insurance Compliance Division, Maryland Motor Vehicle Administration, 6601 Ritchie Highway NE, Glen Burnie, MD 21062.

Certified Statement (Form #ICD-071) is to be used when requesting an uninsured motorist penalty fine adjustment. The original must be presented to MVA personnel along with supporting documentation.

Insurance Producer Remote Access Request and Security Advisory (Form #ICD-072) is used by Insurance Producers licensed by the Maryland Insurance Administration to request a userid and password to participate in the Maryland MVA eFR-19 Online Insurance Certification Program. The completed form must be mailed to the Motor Vehicle Administration, 6601 Ritchie Highway, NE, Room 140, Glen Burnie, MD 21062.

Insurance Requirements for Maryland Vehicles (Form #ICD-004) Contains information regarding insurance requirements for Maryland registered vehicles.

Insurance Requirements for Maryland Vehicles (Form #ICD-004S) Contains information regarding insurance requirements for Maryland registered vehicles. (Spanish)

Judgement Default Notice (Form #ICD-039) is used ONLY by attorneys to file a judgement against an uninsured motorist. Please complete and return this form to the Insurance Compliance Division, Maryland Motor Vehicle Administration, 6601 Ritchie Highway NE, Glen Burnie, MD 21062.

Maryland MVA FTP-ICD Remote Access Request Form (#ICD-075) is used ONLY by Insurance Companies licensed by the Maryland Insurance Administration to request remote access to electronically transmit information relevant to insurance coverage.

Maryland MVA Trading Partner Info Sheet (Form #ICD-073) is used ONLY by Insurance Companies licensed by the Maryland Insurance Administration to provide company trading partner information. Completed form is submitted to the Motor Vehicle Administration, 6601 Ritchie Highway NE, Room 140, Glen Burnie, MD 21062.

Motor Vehicle Fees (Form #VR-316) is a guide to fees charged by the Motor Vehicle Administration for various products and services provided related to titling, registration, driver licensing, business licensing, etc.

Uninsured Motorist Complaint Form (Form #ICD-034) is used to file a complaint against an alleged uninsured motorist. The completed form and, if available, copies of police reports and letter your received from insurance companies disclaiming coverage, can be mailed to the Maryland Motor Vehicle Administration, Insurance Compliance Division, 6601 Ritchie Highway NE, Glen Burnie, MD 21062.

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