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State Farm®
Providing Insurance and Financial Services
PO Box 2358
Bloomington IL 61702-2358
..
Looking for your auto ID cards? Here they are. You have options . . .
Print your cards and keep them in your car.
You can access your digital cards through our app.
If you requested replacement cards, we'll mail a paper copy to you.
If these versions of your ID cards are not accepted by law enforcement or your local Department of Motor
Vehicles office, please contact your agent for help.
Thank you for choosing State Farm ® for your insurance needs.
IMPORTANT - IDENTIFICATION CARDS
STATE FARM
GEORGIA INSURANCE POLICY KEEP THIS CARD IN YOUR MOTOR
INFORMATION CARD VEHICLE WHILE IN OPERATION.
State Farm Mutual Automobile Insurance Company IF YOU HAVE AN ACCIDENT - NOTIFY THE POLICE IMMEDIATELY
POLICY NUMBER D70 5325-B04-11 EFFECTIVE 1. Get names, addresses, and phone numbers of persons involved and witnesses.
AUG 04 2023 TO FEB 04 2025 Also get driver license numbers of persons involved and license plate
numbers/states of vehicles.
INSURED BETTS, CONNIE & KENNETH MUTL 2. Don't admit fault or discuss the accident with anyone but State Farm or police.
VOL 3. Promptly notify your agent, log on to statefarm.com® , or use the State Farm mobile
YR 2011 MAKE MERCEDES app to file a claim.
MODEL E350 VIN WDDHF5GB0BA397718 For EMERGENCY ROAD SERVICE use the State Farm mobile app, log on to
AGENT LUKA CLINE 266B-C03 statefarm.com, or call 1-877-627-5757.EXAMINE POLICY EXCLUSIONS CAREFULLY.
PHONE (678)382-0173 NAIC 25178 THIS FORM DOES NOT CONSTITUTE ANY PART OF YOUR INSURANCE POLICY.
COVERAGES A D1000 G1000 UE-250 How to identify your coverage. See policy for full name and definition
A Liability L Physical Damage U Uninsured Motor Vehicle
Current status of liability insurance coverage for this vehicle is C Medical PaymentsR Car Rental Expense (Difference-In-Limits)
maintained by the Georgia Department of Motor Vehicle Safety. It D Comprehensive R1Car Rental & Travel ExpenseUE Uninsured Motor Vehicle (Excess)
is available to law enforcement agencies upon a registration check. G Collision S Death, Dismemberment and UNOC Use of Nonowned Cars
SEE REVERSE SIDE FOR ADDITIONAL COVERAGE INFORMATION H Emergency Road Service Loss of Sight Z Loss of Earnings
KEEP A CARD IN YOUR CAR.
THIS CARD IS INVALID IF THE POLICY FOR WHICH IT WAS ISSUED LAPSES OR IS TERMINATED.
KEEP YOUR CURRENT CARD UNTIL THE EFFECTIVE DATE OF THIS CARD.
MANY STATES REQUIRE EVIDENCE OF INSURANCE ON DEMAND. ONE OF THESE CARDS SHOULD BE CARRIED IN THE VEHICLE AT ALL TIMES.
Emergency Road Service information is located on your insurance card.
IMPORTANT - IDENTIFICATION CARDS
STATE FARM
GEORGIA INSURANCE POLICY KEEP THIS CARD IN YOUR MOTOR
INFORMATION CARD VEHICLE WHILE IN OPERATION.
State Farm Mutual Automobile Insurance Company IF YOU HAVE AN ACCIDENT - NOTIFY THE POLICE IMMEDIATELY
POLICY NUMBER D70 5325-B04-11 EFFECTIVE 1. Get names, addresses, and phone numbers of persons involved and witnesses.
AUG 04 2023 TO FEB 04 2025 Also get driver license numbers of persons involved and license plate
INSURED BETTS, CONNIE & KENNETH MUTL numbers/states of vehicles.
2. Don't admit fault or discuss the accident with anyone but State Farm or police.
VOL 3. Promptly notify your agent, log on to statefarm.com®, or use the State Farm mobile
YR 2011 MAKE MERCEDES app to file a claim.
MODEL E350 VIN WDDHF5GB0BA397718 For EMERGENCY ROAD SERVICE use the State Farm mobile app, log on to
AGENT LUKA CLINE 266B-C03 statefarm.com, or call 1-877-627-5757.EXAMINE POLICY EXCLUSIONS CAREFULLY.
PHONE (678)382-0173 NAIC 25178 THIS FORM DOES NOT CONSTITUTE ANY PART OF YOUR INSURANCE POLICY.
COVERAGES A D1000 G1000 UE-250 How to identify your coverage. See policy for full name and definition
A Liability L Physical Damage U Uninsured Motor Vehicle
Current status of liability insurance coverage for this vehicle is C Medical PaymentsR Car Rental Expense (Difference-In-Limits)
maintained by the Georgia Department of Motor Vehicle Safety. It D Comprehensive R1Car Rental & Travel ExpenseUE Uninsured Motor Vehicle (Excess)
is available to law enforcement agencies upon a registration check. G Collision S Death, Dismemberment and UNOC Use of Nonowned Cars
SEE REVERSE SIDE FOR ADDITIONAL COVERAGE INFORMATION H Emergency Road Service Loss of Sight Z Loss of Earnings
KEEP A CARD IN YOUR CAR.
THIS CARD IS INVALID IF THE POLICY FOR WHICH IT WAS ISSUED LAPSES OR IS TERMINATED.
KEEP YOUR CURRENT CARD UNTIL THE EFFECTIVE DATE OF THIS CARD.
MANY STATES REQUIRE EVIDENCE OF INSURANCE ON DEMAND. ONE OF THESE CARDS SHOULD BE CARRIED IN THE VEHICLE AT ALL TIMES.
Emergency Road Service information is located on your insurance card. JUN 12 2024
142299.4 (o1ecga1e) 01-07-2022 (o1ecga2a)
