Form SR-21 template
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Proof of Liability Insurance SR-21
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This document is a form for reporting liability insurance information to the Alabama Law Enforcement Agency (ALEA) following an accident in Alabama. The required fields include the case number, name and policy number of the liability insurance company, policy period, date of accident, make of vehicle, driver and owner information, and addresses of the policy holder and owners. The form must be returned to the Safety Responsibility Unit at ALEA.
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