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Bureau of Motor Vehicles

myBMV > Suspension and Reinstatement > Suspension, Reinstatement, and Insurance Forms Suspension, Reinstatement, and Insurance Forms

Under Indiana law, courts can order the BMV to suspend an individual’s driving privileges. State law also requires the BMV to suspend a person's driving privileges for certain violations - including failure to provide proof of financial responsibility (insurance). To reinstate a person's driving privileges, a driver may be required to submit one or more of the following forms.

Certificate of Compliance (COC)

This form is used to verify financial responsibility for a specific incident dated in the past and for a specific vehicle (year and make). This form can be used to show proof of financial responsibility for accidents or citations. The form must be electronically submitted to the BMV by the driver’s or vehicle owner’s insurance provider.

Affidavit – Proof of Financial Responsibility for Employer or Rental Vehicle

State Form 55434 is used to relieve drivers of company-owned or rental vehicles from the BMV’s requirement for proof of financial responsibility when they were operating a company-owned or rental vehicle during the course of their employment or rental term. This form is to be completed by an administrator of the employer or rental company that manages the company’s automotive insurance policies. Use of this form by drivers not operating a rental or company vehicle is considered fraudulent and may result in suspension of driving privileges.

SR-22 Proof of Future Financial Responsibility

The SR22 form confirms future financial responsibility for a driver whose driving privileges have been suspended due to failing to provide proof of financial responsibility to the BMV, operating a motor vehicle without financial responsibility, or for certain convictions which require the driver to maintain proof of future financial responsibility with the BMV for a three-year period. A valid SR22 form must remain on file with the BMV for three years after any of the above types of suspensions. The SR22 will also be accepted as current proof of financial responsibility when an SR50 is needed for the reinstatement of driving privileges. The form must be electronically submitted to the BMV by the driver’s insurance provider.

SR-26 Cancellation of Proof of Future Financial Responsibility

The SR26 form is used by insurance providers to notify the BMV that a policy reported on an SR22 form has been canceled. This document must be electronically submitted by the insurance provider to the BMV.

SR-50 Affidavit of Current Insurance

The Affidavit of Current Insurance (SR50) provides proof of current insurance to the BMV. The form indicates the beginning and ending dates of the current policy. An SR22 will also suffice for proof of current insurance. This document must be electronically submitted by an insurance provider to the BMV.

Reinstatement Fee Submission Form

When a driver is eligible for reinstatement of driving privileges, the BMV will send the driver a Reinstatement Requirements Notice to notify the driver of the necessary requirements the customer must satisfy before driving privileges can be reinstated, including outlining how to pay reinstatement fees online, by phone, or mail using the form that is attached to the notice. If you did not receive your notice in the mail or you lost the Reinstatement Requirements Notice, you may choose to submit the Reinstatement Fee Submission form to pay your reinstatement fee by mail if you are unable to locate the notice(s) sent from the BMV.

Official Court Actions

The following forms are used by the courts to communicate official actions of the court.

SR-16 Certification of Indiana Abstract of Court Record

This form is used by courts to notify the BMV that a driver has been convicted of a citation, failed to appear for a citation, or failed to pay a citation for violating a motor vehicle law. This form also notifies the BMV when matters have been dismissed or orders have been vacated. Drivers may not submit SR-16 forms at license branches. SR16 forms may only be submitted by a court directly to the BMV.

SR-17 Court Order Granting Probationary or Hardship License

The SR17 form is used by courts to notify the BMV that hardship or probationary driving privileges shall be issued to the motorist named in the order. This form tells the BMV the duration of the license and any limits on the motorist’s driving privileges. SR17 forms may only be submitted by a court directly to the BMV.

SR-33 Court Report of Judgment

The SR33 is a form used to notify the BMV of a judgment against the owner or operator of a motor vehicle who has failed to pay for damages arising from an accident. The form reports the amount of the judgment as well as the date the judgment was rendered.

Still have questions? Contact the BMV