Fill Out Your Dl 11Cd Form
The DL 11Cd form, implemented by the North Carolina Division of Motor Vehicles, serves crucial functions related to automobile liability insurance requirements in the state. This form is essential for licensed insurance companies operating within North Carolina, as it outlines their obligations for reporting and record-keeping. Primarily, the DL 11Cd form encapsulates necessary information for two key types of insurance filings: the FS-1 and FS-4 forms. FS-1 acts as a certificate of insurance, proving the existence of active liability coverage, while FS-4 is employed to notify the DMV of policy terminations or changes. The form mandates detailed reporting specifications, including contact information, insurance company codes, and transmission methods, to ensure compliance with state guidelines. Moreover, it emphasizes the importance of electronic notification for insurers that collect significant annual premiums, streamlining communications between the insurance providers and the DMV. Understanding the nuances of the DL 11Cd form is vital for maintaining accurate records and ensuring the smooth operation of insurance coverage verification within North Carolina.
Dl 11Cd Example
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
DIVISION OF MOTOR VEHICLES
April 2011
EUGENE A. CONTI, JR.
SECRETARY
TO: |
NC LICENSED INSURANCE COMPANIES |
FROM: |
Kathy Brannan, Manager |
|
Liability Insurance Unit |
RE: |
North Carolina Filing Requirements regarding |
The Department of Insurance has informed NCDOT of your authority to write automobile liability insurance coverage in the State of North Carolina. The Department of Transportation, Division of Motor Vehicles implemented a new computer system on August 2, 1999. This system is called LITES (Liability Insurance Tracking & Enforcement System). In an effort to assist you, the attached information has been designed to indicate our reporting specifications. Amendment to General Statute
The individual declared as the liaison between the insurance companies and the Division of Motor Vehicles will need to complete our contact sheet (page 2) and return. Upon request, a hard copy of General Statutes, policy and procedure implementations will be forwarded to the designated contact person in your corporate, district or regional office. An
* |
DOT Contacts |
Page 2 |
* |
Company contact information to be returned to NCDMV, if applicable |
Page 2 |
* |
Regulations for filing Forms |
Pages 3 - 4 |
* |
Media / Field Requirements for Forms |
Pages 4 - 7 |
* |
File Layouts of Forms |
Pages 7 - 9 |
North Carolina Department of Transportation
Division of Motor Vehicles
Liability Insurance Unit
SUBJECT |
CONTACT |
CONTACT INFORMATION |
|
EDI/GXS |
LITES Project Team |
litesprojectteam@ncdot.gov |
|
Connect:Direct |
|
|
|
FTP with SSL |
|
|
|
RACF ID and ITS Billing Code |
Traffic Records |
Phone: |
(919) |
STARS Inquiry |
|
Fax: |
(919) |
NC Filing Requirements |
Liability Insurance Unit |
Phone: |
(919) |
Electronic & Tape Transfer |
|
Fax: |
(919) |
Test Planning |
|
insuranceinfo@ncdot.gov |
|
*************************************************************************************
If you are responding for more than one parent insurance company, please list all of the North Carolina companies you represent, including the unique three (3) digit insurance company code. Also, in order to reduce the volume of future communications, advise the Division if a company is NOT currently writing automobile liability insurance policies in North Carolina. Provide this information in the table provided below. You may fax this sheet or send via
Date: |
_________________________________________________________________ |
Contact Name/Title: |
_________________________________________________________________ |
Contact Telephone: |
(______________) _________________________________________________ |
Contact Fax: |
(______________) _________________________________________________ |
Contact Email: |
_________________________________________________________________ |
Contact Address: |
_________________________________________________________________ |
|
_________________________________________________________________ |
Insurance Group: |
_________________________________________________________________ |
(if applicable) |
|
Insurance Company & Assigned Company Code Used on
Writes in
NC
(Yes/No)
If yes, your transmission will be: (Paper, Tape, or Electronic)
If yes, your transmission will occur: (Daily, Weekly, Monthly, etc.)
2
North Carolina Department of Transportation
Division of Motor Vehicles
Liability Insurance Unit
FORMS
I.Liability Insurance Certification
A.If the financial responsibility for a vehicle is a liability insurance policy, the owner of the vehicle
must certify to the existence of the policy and furnish sufficient information on forms provided by the Division of Motor Vehicles to enable verification of the policy‟s existence.
B.Certification shall be made at original registration and at such times as a motor vehicle registration transaction is made between the owner and the Division of Motor Vehicles.
II.Termination Notices
A.North Carolina Notice of Termination Form
B.Insurers shall also notify the Commissioner of the North Carolina Division of Motor Vehicles immediately upon effective date of cancellation or deletion of a motor vehicle from a motor vehicle liability insurance policy. Notification to the Commissioner is NOT necessary if a vehicle is deleted from a policy and replaced with another vehicle or is insured under a fleet policy by the same insurer. A fleet policy is defined, as a policy with five or more vehicles not listed individually by year, make, model or identification number.
C.The North Carolina Notice of Termination Form
Name and address of the registered owner Name of insurance company and code number
Date of birth of registered owner, if available
Year, make, and identification number of vehicle Termination date
Effective date of policy Date prepared
Signature of facsimile signature of authorized representative of insurance company (may be
III.Reinstatement and Renewal Notices
A.If a termination of liability insurance
B.
C.When an insurance company terminates a policy and issues another policy, without a lapse, no
3
North Carolina Department of Transportation
Division of Motor Vehicles
Liability Insurance Unit
D.The certificate of insurance shall be on a form approved by the Commissioner of the North Carolina Division of Motor Vehicles. The form shall be designated an
Name and address of the registered owner
Name of the insurance company and code number
Date of birth of registered owner, if available
Year, make, and identification number of vehicle Effective date of policy
Date prepared
Signature of facsimile signature of authorized representative of insurance company (may be
IV. Authorization
A.An agent representing an insurance company may issue the
FORMS
Media Requirements for Paper Forms
Paper forms will no longer be scanned with the AEG PFL 6150 Form Reader. Please disregard previous requirements regarding paper, opacity, mechanical properties, paper edges, cut size and ink. Paper forms are to
conform to the design for Forms
new layout – this text may be included at your discretion but must not affect the 7 x 4 ¼ size requirement. The new forms have been designed so that 2 forms will fit on one 8 ½”w x 11”h sheet of paper for the purpose of faxing.
Any forms not
See the end of the document for an example of each form.
Field Requirements for Paper Forms
1.Vehicle Year:
a.For both personal and business operating a single vehicle: Enter 4 digit year of manufacture (yyyy).
b.For business operating a schedule of vehicles: Leave blank and enter each vehicle year separately on an attached schedule, along with the corresponding VIN and vehicle make.
c.For dealership, transporter, or
2.Vehicle Make:
a.For both personal and business operating a single vehicle: Enter first 4 letters of vehicle make (Ex.
“Chev”, “Buic”).
b.For business operating a schedule of vehicles: Leave blank and enter each vehicle year separately on an attached schedule, along with the corresponding VIN and vehicle year.
c.For dealership, transporter, or
3.Vehicle Identification Number (VIN):
a.For both personal and business operating a single vehicle: Enter vehicle identification number obtained from vehicle registration card or from dashboard of vehicle.
b.For business operating a schedule of vehicles: Enter „See Attached Schedule‟ and enter each VIN separately on the attached schedule.
c.For dealership, transporter, or
4
North Carolina Department of Transportation
Division of Motor Vehicles
Liability Insurance Unit
4. |
Insurance Company Name: |
Enter company name. |
5. |
Insurance Company Code: |
Enter code assigned at the time company is licensed in state. |
6. |
Policy Number: |
Enter policy number. |
7. |
Registered Owner (optional): |
Personal: Enter first, middle, and last name along with any |
|
|
suffix in the appropriate fields. |
|
|
Business: Enter name of business. |
8. |
Drivers License Number (optional): |
Personal: Enter drivers license of registered owner of vehicle. |
|
|
Business: Enter customer ID assigned to business at time of |
|
|
N.C. registration. |
9. |
Date of Birth (optional): |
Personal: Enter date of birth of registered owner of vehicle. |
|
|
Business: Leave blank. |
10. |
Street Address (optional): |
Enter for registered owner of vehicle. |
11. |
City, State, Zip (optional): |
Enter for registered owner of vehicle. |
12. |
Termination Date: |
Form |
|
|
Form |
13. |
Effective Date: |
Form |
|
|
Form |
14. |
Preparation Date: |
Enter today‟s date or when form was prepared (mmddyyyy). |
FORMS
EDI/GXS
GXS Information Exchange provides companies the ability to establish secure connections to one another by providing written permission outlining the connectivity desired by each company. Many insurance companies are currently processing forms
GXS Information Exchange can be contacted at
File Transfer Protocol with SSL (FTPS)
FTP is a transfer protocol that is fairly common throughout information technology companies. FTP with SSL is an extension of this that adds transport layer security (TLS) and secure socket layer (SSL) cryptographic algorithms. This ensures that the data being transmitted from one company to another is protected from any unauthorized viewing while in transit, which is critical for the sensitive nature of the
When dealing with FTPS, it is understood that the FTP client software is very platform specific and not all software supports encryption. Because of the variety of software packages available, we require for the State of North Carolina that any company looking to utilize FTPS use the full capabilities of the encryption algorithms available. As such, the following requirements will be enforced:
1.Client software must support explicit mode FTPS by sending the command “AUTH TLS”.
5
North Carolina Department of Transportation
Division of Motor Vehicles
Liability Insurance Unit
2.Client software must support passive mode FTP.
3.Client software must be able to accept
4.Client software must be able to process Port Command Format 2 or have the ability to ignore the IP address that is provided in Port Command Format 1.
5.Client software must be able to transmit data in a file structure compatible with MVS formats as the mainframe is not setup to accept any other file structure at this time.
6.Clients must be able to open TCP Ports 50000 – 50040 on their firewall in order to process the data connection from the state mainframe.
7.In order to guarantee encryption for all data transmitted via FTPS, clients will only be authorized certain TCP ports that are designed for these types of transactions. The client will be notified of the approved TCP ports once the account for the client has been set up.
To help streamline the implementation of these requirements, the Office of Information Technology Services (ITS) for the State of North Carolina is prepared to assist you with establishing an FTPS account and ensure that the communication protocols are in place.
Other Electronic Media Formats
The State of North Carolina also permits the use of Connect:Direct to electronically submit insurance records. This is a mainframe to mainframe application that is available for use but requires technical effort on both ends to get set up properly. This is the only other electronic protocol that will be accepted at the NCDOT until further notice. It is anticipated that other protocols may be accepted in the future as they prove themselves to be reliable and secure.
FORMS
1. |
Transaction ID: |
Hard code „003395‟ |
2. |
Operation Code: |
Hard code „I‟ |
3. |
Documentation Type Code: |
Hard code „01‟ for |
|
|
Hard code „02‟ for |
4. |
Vehicle Identification Number (VIN): |
For both personal and business operating a single vehicle: |
|
|
Enter vehicle identification number obtained from vehicle |
|
|
registration card or from dashboard of vehicle. |
5. |
Insurance Company Code: |
Enter code assigned at the time company is licensed in state. |
6. |
Policy Number: |
Enter policy number. |
7. |
Termination Date: |
Form |
|
|
Form |
8. |
Effective Date: |
Form |
|
|
Form |
9. |
Preparation Date: |
Enter today‟s date or when form was prepared (mmddyyyy). |
10. |
Vehicle Make: |
Enter first 4 letters of vehicle make (Ex. “Chev”, “Buic”) |
6
North Carolina Department of Transportation
Division of Motor Vehicles
Liability Insurance Unit
11. |
Vehicle Year: |
Enter 4 digit year of manufacture (yyyy) |
12. |
Drivers License Number (optional): |
Personal: Enter drivers license of registered owner of vehicle. |
|
|
Business: Enter customer ID assigned to business at time of |
|
|
N.C. registration. |
13. |
Date of Birth (optional): |
Personal: Enter date of birth of registered owner of vehicle. |
|
|
Business: Leave blank. |
14. |
Registered Owner (optional): |
Personal: Enter first, middle, and last name along with any |
|
|
suffix in the appropriate fields. |
|
|
Business: Enter name of business. |
15. |
Address 1 and Address 2 (optional): |
Enter for registered owner of vehicle. |
16. |
City, State, Zip (optional): |
Enter for registered owner of vehicle. |
FORMS
Record Layout for Submission of
|
NCDOT SYSTEM: |
|
Liability Insurance Tracking and Enforcement System (LITES) |
|
|||
|
BLOCKSIZE: |
27,740 |
|
|
|
||
|
RECORD LENGTH: |
|
380 Bytes |
|
|
|
|
|
|
|
|
|
|
||
Field Name |
Position Start |
|
Position End |
Type |
Notes |
||
Transaction ID |
1 |
|
6 |
X (6): (constant) |
„003395‟ |
||
Operation Code |
7 |
|
7 |
X (1): (constant) |
„I‟ |
||
Documentation Type |
8 |
|
9 |
X (2): „01‟ or „02‟ |
|||
Code |
|
|
|
|
|||
Vehicle Identification |
10 |
|
34 |
X (25) |
Obtained from vehicle registration |
||
Number |
|
|
|
|
card or from the dashboard of the |
||
|
|
|
|
|
|
vehicle |
|
Insurance Company |
35 |
|
37 |
X (3) |
N. C. code assigned to company by |
||
Code |
|
|
|
|
the state |
||
Policy Number |
38 |
|
67 |
X (30) |
Policy number of insured |
||
Termination Date |
68 |
|
75 |
X (8): (mmddyyyy) |
|||
|
|
|
|
|
|
||
Effective Date |
76 |
|
83 |
X (8): (mmddyyyy) |
|||
|
|
|
|
|
|
||
|
|
|
|
|
|
reinstatement/renewal date |
|
Preparation Date |
84 |
|
91 |
X (8): (mmddyyyy) |
Today‟s date or date form prepared |
||
Vehicle Make |
92 |
|
95 |
X (4) |
First 4 letters of vehicle make (ex. |
||
|
|
|
|
|
|
„Chev‟, „Buic‟) |
|
Vehicle Year |
96 |
|
99 |
X (4): (yyyy) |
Year of Manufacture |
||
Drivers License |
100 |
|
111 |
X (12) |
Personal: Driver license number |
||
Number (if available) |
|
|
|
|
of the registered owner of the |
||
|
|
|
|
|
|
vehicle |
|
|
|
|
|
|
|
Business: N. C. number assigned |
|
|
|
|
|
|
|
to business at time of vehicle |
|
|
|
|
|
|
|
registration – obtained from |
|
|
|
|
|
|
|
vehicle registration card |
|
Date of Birth (if |
112 |
|
119 |
X (8): (mmddyyyy) |
Personal: DOB of insured |
||
available) |
|
|
|
|
Business: Blank |
||
Registered Owner‟s |
120 |
|
139 |
X (20) |
Personal |
||
7
North Carolina Department of Transportation
Division of Motor Vehicles
Liability Insurance Unit
First Name |
|
|
|
|
Registered Owner‟s |
140 |
159 |
X (20) |
Personal |
Middle Name |
|
|
|
|
Registered Owner‟s |
160 |
184 |
X (25) |
Personal |
Last name |
|
|
|
|
Registered Owner‟s |
185 |
187 |
X (3) |
Personal |
Suffix |
|
|
|
|
Registered Owner‟s |
188 |
259 |
X (72) |
Business |
Name |
|
|
|
|
Address – 1 |
260 |
284 |
X (25) |
Personal or business |
Address – 2 |
285 |
309 |
X (25) |
Personal or business |
City |
310 |
331 |
X (22) |
Personal or business |
State |
332 |
333 |
X (2) |
Personal or business |
Zip Code |
334 |
342 |
X (9) |
Personal or business (can be 5 or 9 |
|
|
|
|
digit zip code) |
Filler |
343 |
380 |
X (38) |
Reserved for DMV use |
8
NOTICE OF TERMINATION OF LIABILITY INSURANCE
|
YEAR |
MAKE |
|
|
|
|
VEHICLE IDENTIFICATION NUMBER |
|
|
|
|
|
|
|
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
INSURANCE COMPANY NAME |
|
|
|
|
|
|
|
COMPANY CODE |
|
|
||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
POLICY NUMBER |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
MM |
DD |
YYYY |
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
REGISTERED OWNER NAME |
|
|
|
|
|
|
TERMINATION DATE |
|
|
|||||||||||||||
|
|
|
|
|
MM DD YYYY |
|
|
|
|
|
MM |
|
DD |
|
YYYY |
|
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
DRIVERS LICENSE |
|
|
DATE OF BIRTH |
|
|
|
|
|
|
|
EFFECTIVE DATE |
|
|
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
MM |
DD |
YYYY |
|
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
STREET ADDRESS |
|
|
|
|
|
PREPARATION DATE |
|
|
|||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||
|
TOWN OR CITY |
|
|
|
|
STATE |
|
ZIP CODE |
|
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
AUTHORIZED SIGNATURE |
|
|
||||||||||
NORTH CAROLINA CERTIFICATE OF LIABILITY INSURANCE
YEAR |
MAKE |
|
|
VEHICLE IDENTIFICATION NUMBER |
|
|
|
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
INSURANCE COMPANY NAME |
|
|
|
COMPANY CODE |
|
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
POLICY NUMBER |
|
|
|
|
|
|
|
|
|
|
|
|||||
|
|
|
|
|
|
|
|
|
MM |
DD |
YYYY |
|
||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
REGISTERED OWNER NAME |
|
EFFECTIVE DATE |
|
||||||||||||||
|
|
|
MM DD YYYY |
|
MM |
DD |
|
YYYY |
|
|||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||
DRIVERS LICENSE |
|
DATE OF BIRTH |
|
|
|
PREPARATION DATE |
|
|||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
STREET ADDRESS
TOWN OR CITY |
STATE |
ZIP CODE |
AUTHORIZED SIGNATURE
Form Characteristics
| Fact Name | Details |
|---|---|
| Governing Law | North Carolina General Statute 20-309 |
| Form Purpose | This form is used for reporting insurance policies for motor vehicles in North Carolina. |
| Submission Requirement | Insurers must notify the Division upon writing new policies. |
| Electronic Notification Threshold | Required if the company has $25,000,000 or more in annual vehicle insurance premium. |
| Liaison Requirement | A designated contact person must complete a contact sheet. |
| Form FS-4 | This form notifies the Division of termination of motor vehicle liability insurance. |
| Form FS-1 | This certificate confirms the existence of liability insurance for a vehicle. |
| Required Fields | Forms FS-4 and FS-1 must include detailed information about the vehicle and the registered owner. |
| Record Keeping | Insurers must maintain records of all policies, terminations, and reinstatements. |
| Contact Information | Liability Insurance Unit can be reached at (919) 861-3832 for questions regarding the forms. |
Guidelines on Utilizing Dl 11Cd
Completing the DL 11Cd form is essential for insurance companies operating in North Carolina. Once the form is filled out correctly and submitted, it will facilitate communication between the insurance provider and the Division of Motor Vehicles. This ensures that all necessary information regarding liability insurance policies is accurately reported and maintained.
- Begin by filling in the Date section at the top of the form. Use the format mm/dd/yyyy.
- Enter the Contact Name/Title. Make sure to provide the full name and title of the individual completing the form.
- Provide the Contact Telephone number. Include the area code and ensure it is accurate.
- Fill in the Contact Fax number along with the area code, if applicable.
- Enter the Contact Email address. Confirm the spelling to avoid any errors.
- List the Contact Address with complete details including street, city, state, and zip code.
- If applicable, state the Insurance Group name, which serves as the parent name for all associated companies.
- For each affiliated Insurance Company, provide the following details:
- Insurance Company Name.
- Assigned Company Code used on FS-1 and FS-4 forms.
- Indicate whether the company writes insurance in North Carolina (Yes/No).
- If the answer is yes, specify if the transmission will be Paper, Tape, or Electronic.
- If yes, mention how often the transmission will occur (Daily, Weekly, Monthly, etc.).
- Review all entries to confirm accuracy before submission.
- Submit the completed form via fax or email to the Liability Insurance Unit as listed in the contact information.
What You Should Know About This Form
What is the DL 11Cd form in North Carolina?
The DL 11Cd form is a document used by the State of North Carolina's Department of Transportation, specifically within the Division of Motor Vehicles. It functions as a notification form for insurance companies regarding motor vehicle liability insurance policies and their status. The form must be completed when there are terms related to new insurance policies, policy cancellations, and reinstatements, ensuring that the Department has accurate records of insurance coverage for vehicles in the state.
Who needs to complete and submit the DL 11Cd form?
North Carolina licensed insurance companies with the authority to write automobile liability insurance are required to complete the DL 11Cd form. If your insurance company is writing new policies or if there are changes to existing policies, this form is essential for compliance with state regulations. It ensures that the Division of Motor Vehicles is informed about the coverage your company provides, helping to maintain accurate records of vehicle insurance in North Carolina.
What information is required on the DL 11Cd form?
The DL 11Cd form requires various details including, but not limited to, the name and address of the registered owner of the vehicle, the insurance company name and code, the policy number, and the vehicle identification number (VIN). Additional optional fields include the driver's license number and date of birth of the registered owner. Accurate completion of the form is crucial in tracking insurance coverage adequately and ensuring compliance with North Carolina motor vehicle laws.
Can an insurance agent sign the DL 11Cd form on behalf of the company?
Yes, an agent representing an insurance company may sign the DL 11Cd form if they have been authorized to do so by their company. This provision allows for greater flexibility in processing forms and facilitates timely communication with the Division of Motor Vehicles regarding insurance coverage updates and changes.
What happens if my insurance company is not currently writing policies in North Carolina?
If your insurance company is not actively writing automobile liability insurance policies in North Carolina, it is essential to respond to the Division of Motor Vehicles accordingly. This proactive communication helps keep state records current and prevents unnecessary future inquiries regarding your company’s licensing status. A simple notification on the DL 11Cd form indicating this status will suffice in updating the records.
Common mistakes
Filling out the DL 11CD form can seem straightforward, yet many individuals make common errors that can lead to delays or complications. One prevalent mistake involves incorrect or incomplete contact information. It's essential to provide accurate details, such as telephone numbers and email addresses, ensuring that officials can easily reach you if necessary. Skipping any of these entries can create confusion, leading to communication issues.
Another frequent error relates to the insurance company code. Each insurance company is assigned a unique code when licensed. Failing to include this code or inputting it incorrectly may result in processing delays. Always double-check this information and cross-reference it with any documentation you have from the insurance provider.
Many individuals forget to specify whether they currently write automobile liability coverage in North Carolina. This is a critical component, as it impacts how the Division of Motor Vehicles processes the information. Leaving this section blank or failing to indicate “Yes” or “No” can lead to unnecessary follow-up requests.
Inaccuracies in the vehicle identification number (VIN) can also lead to issues. Ensure you obtain the VIN directly from the vehicle registration card or the vehicle's dashboard. Mistakes here can result in the denial of coverage or complications when trying to validate the insurance policy.
Some people overlook the requirement to provide dates accurately. It is crucial to input the termination and effective dates following the correct format. Make sure the format aligns with what is stated in the form instructions, as incorrect dates can hinder the form's acceptance.
Another typical mistake is failing to sign the form. While many insurers might use a facsimile signature, ensure it's included to avoid delays in processing. A missing signature can often confuse those reviewing the form, leading to unnecessary back-and-forth communication.
Formatting issues can sometimes arise, especially when using paper forms. Adhering strictly to the size requirements of the forms is essential. If the dimensions are not correct, the submission may be rejected. Moreover, having two forms fit on one page is a practical tip that can minimize paper use while ensuring clarity.
Finally, individuals often misinterpret optional fields as unnecessary. While some fields, such as the driver’s license number and date of birth, are marked optional, providing this information where applicable can facilitate smoother processing. It might assist in confirming identity or ownership if questions arise later.
Documents used along the form
The DL 11Cd form is commonly associated with several other documents within the North Carolina Department of Transportation's Division of Motor Vehicles. Each document plays a specific role in ensuring compliance with liability insurance requirements. Below are the key forms and documents often linked to the DL 11Cd form, along with their descriptions.
- Form FS-1: This is the Certificate of Insurance form used to certify that a policyholder has valid automobile liability coverage. It must be issued upon request and confirms the effective date and scope of the insurance.
- Form FS-4: Known as the Notice of Termination, this form notifies the Division of Motor Vehicles of the termination of a motor vehicle liability insurance policy. It provides essential details about the policy and the insured vehicle.
- Contact Sheet: A document that insurance companies must fill out to provide contact information for liaisons dealing with the Division of Motor Vehicles. It ensures direct communication regarding insurance matters.
- Hard Copy of General Statutes: Upon request, the Division will provide a printed version of relevant General Statutes, offering additional context and legal framework concerning motor vehicle insurance.
- Media/Field Requirements Document: This outlines the requirements for the submission of FS-1 and FS-4 forms via various media, detailing how they must be completed and transmitted.
- File Layouts Document: This document provides the necessary specifications and layouts for electronic submissions of FS-1 and FS-4 forms, ensuring data is processed correctly.
- Electronic Notification Guidelines: These guidelines explain the process for electronic communications regarding new policy filings, particularly for companies with significant vehicle insurance premiums.
- Rejection/Random Sampling Reports: Reports generated to notify companies about various submissions that have been rejected or selected for random sampling by the Division.
- Test Planning Document: A guide for insurance companies on how to prepare for testing their electronic submissions, ensuring compliance with state standards.
- Termination Notice Rules: This set of rules provides specific instructions on how and when to inform the Division of terminations or changes in vehicle insurance policies.
Each of these documents plays a vital role in maintaining accurate records and communication between insurance companies and the North Carolina Division of Motor Vehicles. It is essential for companies to understand and correctly utilize these forms to ensure compliance with state regulations.
Similar forms
- FS-1 Form: This certification form is similar to the DL 11CD as both documents serve to verify the existence of an automobile liability insurance policy. They are required when a policy is issued or renewed, ensuring compliance with state regulations.
- FS-4 Form: Like the DL 11CD, the FS-4 serves as a notification form used to inform the Division of Motor Vehicles about the cancellation or termination of an insurance policy. Both forms involve critical communication between insurers and the regulatory body.
- Liability Insurance Certification: This document parallels the DL 11CD in that it certifies the existence of insurance coverage. Both require similar information from policyholders to confirm compliance with financial responsibility laws.
- Insurance Company Contact Sheet: This document is akin to the DL 11CD, as it requires insurance companies to provide their contact details. Both facilitate communication between the insurance companies and the North Carolina Division of Motor Vehicles.
- Policy Reinstatement Form: This form shares characteristics with the DL 11CD by documenting the reinstatement of liability coverage. Both involve the reporting of critical policy changes that affect compliance and insurance records.
- Hard Copy of General Statutes: Similar to the DL 11CD, this document outlines the legal requirements for insurance coverage in North Carolina. Both serve as informative resources to ensure that insurers are aware of their obligations under the law.
- Media/Field Requirements Document: This document mirrors the DL 11CD in its intention to provide clarity on filing requirements and regulations. Both serve to guide insurance companies in meeting necessary standards for compliance.
Dos and Don'ts
When filling out the DL 11Cd form, it is essential to adhere to specific guidelines to ensure accuracy and compliance. Below is a list of things to do and avoid.
- Provide Complete and Accurate Information: Ensure all fields are filled out correctly, including names, codes, and dates.
- Use the Correct Form Version: Make sure you are using the latest version of the DL 11Cd form as per the provided specifications.
- Double-Check Vehicle Details: Verify the vehicle identification numbers and years correspond accurately to the information on the registration card.
- Follow Submission Guidelines: Adhere to the specified method for submitting the form, whether electronically, by fax, or via mail.
- Maintain a Copy for Your Records: Keep a copy of the completed form for your own records in case of future reference.
- Do Not Leave Required Fields Blank: Ensure all necessary fields are completed; leaving blanks can lead to delays or rejections.
- Avoid Providing Inaccurate Information: Incorrect data can result in penalties or complications with your filing.
- Don't Ignore Submission Deadlines: Be aware of any deadlines for filing to avoid penalties.
- Do Not Use Outdated Versions: Verify you are using the most recent version of the form to comply with current regulations.
- Refrain from Making Handwritten Changes: Typed or printed information is preferred; handwritten alterations may not be accepted.
Misconceptions
Here are some common misconceptions about the DL-11CD form:
- It is only for insurance companies. The DL-11CD form is used by both insurance companies and vehicle owners to certify insurance policies and must be completed correctly to ensure compliance.
- Filing the form is optional. Filing is mandatory under North Carolina law for vehicle registration and for notifying the Division of Motor Vehicles about policy changes.
- Only one form is needed per policy. If multiple vehicles are listed on an insurance policy, each vehicle requires a separate record when submitting electronically or by paper.
- Insurance agents cannot file the form. An authorized agent can submit the DL-11CD form on behalf of the insurance company if they have proper permission to do so.
- The form must be mailed in. Companies can electronically submit the form through their chosen method, like FTP with SSL, making it easier and quicker than traditional mail.
- There is no deadline for submitting the form. Timely submission is required, especially within specific periods after policy establishment or termination to avoid penalties.
- Inaccuracies on the form are acceptable. Completing the DL-11CD form accurately is crucial. Errors can lead to compliance issues and additional correspondence with the Division of Motor Vehicles.
- The form does not need to be updated if a policy changes. Any changes in coverage or status must be communicated by maintaining updated information on the DL-11CD form.
- Proof of insurance is the same as submitting the form. While the form is a declaration, proper documentation of insurance must be maintained separately and presented as required by law.
Key takeaways
Filling out and using the DL 11CD form, which pertains to the reporting of automobile liability insurance in North Carolina, requires careful attention to detail. Here are some key takeaways:
- Policy Notification: Insurance companies must inform the North Carolina Division of Motor Vehicles about any new policies written, as outlined by General Statute 20-309.
- Electronic Notification: Companies with an annual vehicle insurance premium of $25,000,000 or more must provide notifications electronically.
- Form FS-4 for Termination: If an insurance policy is terminated, the FS-4 form needs to be submitted to notify the Division about the termination of motor vehicle liability insurance.
- Form FS-1 for Reinstatement: For reinstatements or renewals without a lapse in coverage, the FS-1 form is required to certify the existence of the new policy.
- Contact Information Submission: Each insurance company must designate a liaison and complete the contact sheet, providing essential company information to facilitate communication with the Division.
Browse Other Templates
Mail 941 - Frequent filing updates help maintain clear tax records with the state.
Usps Forms - Serves as a formal statement regarding the nature of the shipment.