TEMPORARY AUTO
IDENTIFICATION CARD
STATE FARM®
This card is invalid if the policy for which it was issued lapses or is terminated.
TEMPORARY FLORIDA INSURANCE CARD THIS CARD MUST BE CARRIED IN THE INSURED MOTOR VEHICLE
FOR PRODUCTION UPON DEMAND.
THE COVERAGE PROVIDED BY THE POLICY MEETS THE MINIMUM
State Farm Mutual Automobile Insurance Company LIABILITY LIMITS PRESCRIBED BY LAW.
POLICY NUMBER 279 7282-A46-49 IF YOU HAVE AN ACCIDENT- NOTIFY POLICE
INSURED WINT, JEVAUGHN IMMEDIATELY.
1. Get names, addresses, and phone numbers of persons involved and
EFFECTIVE DATE MAR-01-2025 EXPIRATION DATE SEP-01-2025 witnesses. Also get driver license numbers of persons involved and license
plate numbers/states of vehicles.
CAR -YEAR /MAKE/VEHICLE IDENTIFICATION NUMBER
2. Don't admit fault or discuss the accident with anyone but State Farm or
COVERAGES 2004/ACURA RSX 2D
JH4DC53094S011332 police.
A BODILY INJURY/PROPERTY
DAMAGE LIABILITY 3. Promptly notify your agent, log on to statefarm.com®, or visit State Farm
C MEDICAL PAYMENTS Pocket Agent® to file a claim.
D COMPREHENSIVE $500
G COLLISION $500 For Emergency Road Service call 1-877-627-5757
H, R1, U
HOW TO IDENTIFY YOUR COVERAGES
AGENT
TEMPORARY
MILLER, CONSUELO
NAIC #09785
A
SEE POLICY FOR FULL NAME AND DEFINITION
Liability S Death, Dismemberment and
1280 S POMPANO PKWY STE 20 C Medical Payments Loss of Sight
POMPANO BEACH, FL 33069 D Comprehensive U Uninsured Motor Vehicle
PHONE #1-800-440-0998 G Collision U1 Uninsured Motor Vehicle
H Emergency Road Service UNOC Use of Nonowned Cars
This ID card must be carried in the vehicle at all times. L Physical Damage W Underinsured Motor Vehicle
R1 Car Rental and Travel Expense Z Loss of Earnings
EXAMINE POLICY EXCLUSIONS CAREFULLY. THIS FORM DOES NOT
STATE FARM® CONSTITUTE ANY PART OF YOUR INSURANCE POLICY.
Because many states require evidence of insurance on demand, one copy of this form
should be carried in the vehicle at all times.
A toll free number is available for Emergency Road Service and is located on your
insurance card.
1002968
2025 829910 201 03-01-2025