Skip to: Content | Footer | Web Accessibility | Disability Services
Disabled wheelchair logo

California Department of Motor Vehicles
DMV Spanish website
car image

Certificate of Insurance (REG 5009)

Adobe Acrobat Reader is required to view, fill out and print forms. To incorporate the latest accessibility features download of the latest version of Acrobat Reader may be required. If you have problems with Acrobat Reader or our PDF form, select PDF Troubleshooting.

To meet financial responsibility requirements of supplying evidence of liability insurance, the following form is provided as an optional form to be completed by your insurance company and returned to the Department of Motor Vehicles, International Registration Plan Branch with your renewal package.

Back to Main forms page