Financial Responsibility Document Request SR 19C
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.
Each driver involved in an accident that caused more than $1,000 ($750 for accidents occurring prior to January 1, 2017) worth of property damage or injured or killed any person must complete a Traffic Accident Report form (SR 1) within 10 days. You may obtain a photocopy of the report that the other driver submitted to DMV by completing a Financial Responsibility Information Request (SR 19C) form and mailing it to the address printed on top of the form. You may also request the other driver's insurance information and/or a certification that the other driver was not insured (Uninsured Motorist Certificate).
There is a nonrefundable fee of $20 for each type of information requested and only one subject of inquiry allowed per request. Authority to release this information can be found in Section 16005 of the California Vehicle Code.Back to Main forms page