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The Dl 11Cd form plays a crucial role in understanding the filing requirements for automobile liability insurance in North Carolina. This form, issued by the North Carolina Department of Transportation's Division of Motor Vehicles, is essential for licensed insurance companies operating within the state. It outlines key processes that insurers must follow, particularly concerning the notification of new policies and terminations. As part of a broader regulatory framework, the Dl 11Cd form includes specific sections dedicated to liability insurance certification, termination notices, and renewal notifications. These provisions ensure that the Division is promptly informed about changes in coverage, which is vital for maintaining accurate vehicle registration and enforcing compliance. The form also emphasizes the need for electronic submissions and provides alternatives for communication. By adhering to these requirements, insurance providers contribute to a systematic approach to managing motor vehicle liability, thereby safeguarding the interests of vehicle owners and the community at large.

Form Sample

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 FS-1’s and FS-4’s Forms

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 20-309 requires notification to the Division on new policies written. The amendment also requires electronic notification if your company has $25,000,000 or more in annual vehicle insurance premium.

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 e-mail address incorporates an additional way to receive Rejection/Random Sampling Reports other than by mail. Group name, if applicable, should be shown as the parent name of all associated companies authorized to write North Carolina automobile liability coverage. If you are not currently writing automobile liability coverage in our State, we would appreciate a response back. Upon your response, our records will be updated accordingly. Should you need further information, refer to the chart on Page 2.

*

DOT Contacts

Page 2

*

Company contact information to be returned to NCDMV, if applicable

Page 2

*

Regulations for filing Forms FS-4 and FS-1 in the State of North Carolina

Pages 3 - 4

*

Media / Field Requirements for Forms FS-4 and FS-1, All Media

Pages 4 - 7

*

File Layouts of Forms FS-4 and FS-1, All Media

Pages 7 - 9

North Carolina Department of Transportation

Division of Motor Vehicles

Liability Insurance Unit

SUBJECT

CONTACT

CONTACT INFORMATION

EDI/GXS

LITES Project Team

E-Mail:

[email protected]

Connect:Direct

 

 

 

FTP with SSL

 

 

 

RACF ID and ITS Billing Code

Traffic Records

Phone:

(919) 861-3062

STARS Inquiry

 

Fax:

(919) 715-9099

NC Filing Requirements

Liability Insurance Unit

Phone:

(919) 861-3832

Electronic & Tape Transfer

 

Fax:

(919) 861-3617

Test Planning

 

E-Mail:

[email protected]

*************************************************************************************

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 e-mail to the Liability Insurance Unit as referenced in the contact information above.

Date:

_________________________________________________________________

Contact Name/Title:

_________________________________________________________________

Contact Telephone:

(______________) _________________________________________________

Contact Fax:

(______________) _________________________________________________

Contact Email:

_________________________________________________________________

Contact Address:

_________________________________________________________________

 

_________________________________________________________________

Insurance Group:

_________________________________________________________________

(if applicable)

 

Insurance Company & Assigned Company Code Used on FS-1 and FS-4 Forms

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 FS-4 and FS-1: Regulations for Filing

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 FS-4 shall be used to notify the Commissioner of the Division of Motor Vehicles of termination of motor vehicle liability insurance. The form shall be supplied by the insurer and must include the items in Section C below. A notice of termination for a policy covering multiple listed vehicles also requires a Form FS-4. For data transmitted by tape or electronically, a separate record for each vehicle is required; for paper submissions, please refer to page 4.

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 FS-4 has been approved by the Commissioner of the North Carolina Division of Motor Vehicles. The form shall contain the following fields.

Name and address of the registered owner Name of insurance company and code number

Date of birth of registered owner, if available (non-fleet policies) Drivers license number 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 pre-printed or stamped)

III.Reinstatement and Renewal Notices

A.If a termination of liability insurance (FS-4) was issued to the North Carolina Division of Motor Vehicles and the insured was subsequently reinstated or renewed, the insurer must inform the Division with an FS-1, certificate of insurance, provided such reinstatement or renewal has occurred without any lapse in coverage.

B.FS-1‟s shall be issued upon request from the insured, request from the Division of Motor Vehicles or to reinstate with no lapse in coverage.

C.When an insurance company terminates a policy and issues another policy, without a lapse, no FS-4 is necessary. The insurance company shall issue an FS-1 showing continuous coverage. Continuous coverage for a policy covering multiple listed vehicles also requires a Form FS-1. For data transmitted by tape or electronically, a separate record for each vehicle is required, for paper submissions, please refer to page 4.

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 FS-1 and shall reflect the following:

Name and address of the registered owner

Name of the insurance company and code number

Date of birth of registered owner, if available (non-fleet policies) Drivers license number 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 pre-printed or stamped)

IV. Authorization

A.An agent representing an insurance company may issue the FS-4 or FS-1 if authorized to do so by the company.

FORMS FS-4 and FS-1: Media / Field Requirements (Paper)

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 FS-4 and FS-1 included in this packet (page 8), including the size requirement of 7”w x 4 ¼”h per form. Certain items of text that appeared on the previous forms have been eliminated from the

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 computer-generated must be typed.

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 drive-away: Leave blank.

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 drive-away: Leave blank.

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 drive-away: Enter „Garage Liability Policy‟.

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 FS-4: Enter date policy was terminated (mmddyyyy).

 

 

Form FS-1: Leave blank.

13.

Effective Date:

Form FS-4: Enter date policy went into effect (mmddyyyy).

 

 

Form FS-1: Enter date policy was renewed (mmddyyyy).

14.

Preparation Date:

Enter today‟s date or when form was prepared (mmddyyyy).

FORMS FS-4 and FS-1: Media Requirements (Electronic)

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 FS-1 and FS-4 with the State of North Carolina using the product Expedite offered by GXS Information Exchange. Expedite is a mailbox-based product that allows companies with dissimilar systems to exchange files. Expedite supports OS/390, AS/400 PC/DOS, OS/2 and Windows platforms.

GXS Information Exchange can be contacted at 1-877-326-6426.

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 FS-1 and FS-4 data.

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 “well-known” digital certificates transmitted by the state mainframe as self-signed certificates are not permitted on these state resources.

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 FS-4 and FS-1: Field Requirements (Electronic)

1.

Transaction ID:

Hard code „003395‟

2.

Operation Code:

Hard code „I‟

3.

Documentation Type Code:

Hard code „01‟ for FS-1

 

 

Hard code „02‟ for FS-4

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 FS-4: Enter date policy was terminated (mmddyyyy).

 

 

Form FS-1: Leave blank.

8.

Effective Date:

Form FS-4: Enter date policy went into effect (mmddyyyy).

 

 

Form FS-1: Enter date policy was renewed (mmddyyyy).

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 FS-4 and FS-1: Record Layout

Record Layout for Submission of FS-4 and FS-1 Data by Electronic Media

 

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‟

FS-1: „01‟

Code

 

 

 

 

FS-4: „02‟

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)

FS-4: Policy termination date

 

 

 

 

 

 

FS-1: Blank

Effective Date

76

 

83

X (8): (mmddyyyy)

FS-4: Policy effective date

 

 

 

 

 

 

FS-1: Policy

 

 

 

 

 

 

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

FS-4

 

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

FS-1

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

Document Specifications

Fact Name Fact Details
Governing Authority The DL 11Cd form is governed by North Carolina General Statute 20-309, which mandates notification of new automobile liability insurance policies to the Division of Motor Vehicles.
Purpose of the Form This form is primarily used for reporting information related to automobile liability insurance coverage, specifically for new policies and termination notices.
Submission Requirements Insurance companies are required to notify the Division promptly upon writing new policies, as well as immediately upon termination of coverage.
Electronic Communication Companies with over $25 million in annual vehicle insurance premiums must submit notifications electronically, enhancing tracking efficiency.
Form Specifications The DL 11Cd form should conform to specific design requirements, including size specifications of 7 inches wide by 4.25 inches high.
Contact Information The form includes key contact details, such as email addresses and phone numbers, for the Liability Insurance Unit, facilitating communication between insurers and the Division of Motor Vehicles.

Steps to Filling Out Dl 11Cd

Filling out the DL 11CD form is an important step for insurance companies operating in North Carolina. It ensures compliance with state regulations and helps maintain accurate records within the Division of Motor Vehicles. Following these step-by-step instructions will help you complete the form correctly.

  1. Gather necessary information: Ensure you have the details needed to fill out the form, such as insurance company codes, policy numbers, and contact information.
  2. Begin with the date: Fill in the current date in the designated area at the top of the form.
  3. Provide your contact information: Enter your full name, title, telephone number, fax number, email address, and physical address in the specified fields.
  4. Fill in the insurance group information: If applicable, provide the name of your insurance group.
  5. List the insurance companies: For each company, write the insurance company's name and its assigned code as used on FS-1 and FS-4 forms.
  6. State whether each company writes in North Carolina: Indicate "Yes" or "No" in the designated box for each insurance company.
  7. Detail transmission methods: If the company writes insurance in North Carolina, specify whether the transmission will be paper, tape, or electronic.
  8. Indicate frequency of transmission: Note how often the transmission will occur, such as daily, weekly, or monthly.
  9. Review all entries: Double-check your information for accuracy and completeness.
  10. Submit the form: Fax or email the completed form to the Liability Insurance Unit using the contact information provided on the form.

More About Dl 11Cd

What is the DL 11Cd form?

The DL 11Cd form pertains to liability insurance requirements for vehicle owners in North Carolina. It is part of a system implemented by the North Carolina Department of Transportation to help track and enforce liability insurance on vehicles. This form plays a critical role in ensuring that motor vehicle owners certify the existence of liability insurance, which is mandatory for vehicle registration and other transactions with the Division of Motor Vehicles (DMV).

Who needs to submit the DL 11Cd form?

Insurance companies licensed to write automobile liability insurance in North Carolina are required to submit the DL 11Cd form. Additionally, vehicle owners must provide information as part of the registration process, confirming that they possess valid liability insurance coverage. If you are an insurance representative, it’s also important to ensure compliance with the reporting regulations to maintain accurate records with the DMV.

When should the form be completed?

The DL 11Cd form must be completed and submitted whenever a vehicle is registered or a change occurs regarding the vehicle's insurance coverage. This includes new policies, terminations of coverage, and renewals. It’s crucial that the information provided reflects the most current status of the insurance to avoid any penalties or complications with registration.

What information is required on the DL 11Cd form?

The DL 11Cd form requires several key pieces of information, including the name and address of the registered owner, the name of the insurance company, the policy number, and details about the vehicle such as year, make, and VIN (Vehicle Identification Number). If available, optional information, like the registered owner’s driver's license number and date of birth, can also be included.

How should the form be submitted?

Submission can be done electronically or via paper forms. If using electronic methods, ensure compliance with the established protocols for secure data transmission, such as FTP with SSL. For paper forms, it’s important to adhere to the prescribed format and size so that they can be appropriately processed by the DMV.

What happens if an insurance policy is terminated?

If an insurance policy is terminated, the insurance provider must notify the DMV using the FS-4 form, which is part of the DL 11Cd requirements. This ensures that the DMV has up-to-date information on which vehicles are currently insured. Notification should occur immediately upon the effective date of the cancellation.

Can an agent fill out the DL 11Cd form?

Yes, an authorized agent of the insurance company is permitted to fill out and submit the DL 11Cd form on behalf of the insurer. It’s vital, however, that the agent has the proper authorization from the company to ensure the submission is legitimate and adheres to regulatory standards.

What are the consequences of failing to submit the form?

Failure to file the DL 11Cd form correctly and in a timely manner can lead to penalties, including fines or issues with vehicle registration. It is important for insurance companies and vehicle owners to maintain accurate submissions to avoid legal complications and potential lapses in insurance coverage.

Where can I find additional information about the DL 11Cd form?

For more detailed information, including specific filing requirements and regulations, you may contact the North Carolina Division of Motor Vehicles’ Liability Insurance Unit. They provide resources and support for both insurance companies and vehicle owners to ensure compliance with state laws.

Common mistakes

  1. Inaccurate Information:

    One common mistake is to provide incorrect details about the insurance company or policy. Ensure the name and address of the insurance company are accurate and up-to-date.

  2. Missing Required Fields:

    All necessary fields must be completed. Failing to fill out required sections, such as the insurance company code or vehicle identification number, can lead to delays or rejections.

  3. Incorrect Vehicle Information:

    Make sure to enter the vehicle's year, make, and VIN accurately. Any discrepancies can cause issues during the review process.

  4. Improper Format:

    For fields requiring specific formats, like dates, stick to the prescribed format. For instance, enter dates in mmddyyyy format to avoid errors.

  5. Not Updating Following Changes:

    If there are changes in policy or ownership, promptly update the form. Ignoring updates can lead to problems with compliance and coverage verification.

  6. Overlooking Submission Guidelines:

    Review all submission guidelines thoroughly before sending the form. Each format—paper or electronic—has distinct rules that must be followed to ensure proper processing.

Documents used along the form

The DL 11Cd form is accompanied by several critical documents and forms that support the reporting and compliance processes for automobile liability insurance in North Carolina. Below is a list of these documents, each serving a particular function in the realm of insurance reporting and verification.

  • FS-1 Form: This document is a certificate of insurance indicating that a vehicle is covered by a liability insurance policy. It must detail information about the vehicle and the insured, including the vehicle's identification number and the insurance company’s name.
  • FS-4 Form: Known as the Notice of Termination, this form is used to inform the Division of Motor Vehicles when a liability insurance policy has been canceled. It includes pertinent details such as the termination date and vehicle information.
  • Contact Sheet: This form captures the contact information of the insurance company's designated liaison. It is essential for communication between the insurer and the North Carolina Division of Motor Vehicles.
  • Data Transmission Guidelines: These include specifications for sending FS-1 and FS-4 forms electronically, ensuring that the data shared conforms to regulatory requirements.
  • Regulatory Compliance Guide: This document outlines the specific regulations governing the filing of the FS-1 and FS-4 forms, detailing what is required for compliance with state law.
  • Media Requirement Specifications: These guidelines dictate how paper and electronic versions of the forms should be formatted and transmitted, particularly focusing on security and compatibility.
  • Rejection and Random Sampling Reports: These reports provide feedback from the Division of Motor Vehicles regarding submissions made by insurance companies, helping them ensure compliance and rectify any issues.

Each of these documents plays a vital role in the insurance process, ensuring that policies are properly reported and maintained, thereby helping to uphold the regulatory framework in North Carolina. Understanding these forms can help facilitate smoother interactions with the Division of Motor Vehicles and ensure compliance with state laws.

Similar forms

The Certificate of Insurance form (COI) is similar to the DL 11Cd form in that it serves as evidence of liability insurance coverage. Both documents are essential for verifying that a vehicle owner has valid insurance. The COI often includes the name of the insured, policy details, and coverage limits, just like the DL 11Cd, which tracks the existence and details of automobile liability insurance policies. Both documents are critical for regulatory compliance and aim to provide accurate information to state authorities, ensuring safe driving practices are maintained.

The Notice of Termination form (like the FS-4) directly aligns with the DL 11Cd form in functioning as a notification to state authorities regarding policy changes. This termination form is used by insurance companies to inform the DMV when a liability insurance policy is canceled. Both forms require timely notification to prevent lapses in coverage. Additionally, they include specific details like the insured's name, policy number, and effective dates, thereby ensuring that relevant stakeholders are updated on the current status of vehicle insurance.

Reinstatement and Renewal notices, akin to the FS-1 form, illustrate the continuation of coverage after a lapse. They provide confirmation to the state that a vehicle owner's insurance has been reinstated or renewed without interruption. Both the FS-1 and DL 11Cd form help to signify that a vehicle is still adequately covered under state laws. The process and specificity in information required are similar, helping insurance companies maintain compliance with North Carolina state regulations.

The Electronic Data Interchange (EDI) documents relate closely to the DL 11Cd form in terms of facilitating communication between insurance providers and state authorities. Both methods aim to streamline the reporting process of insurance transactions, including submissions, changes, and cancellations. EDI is particularly important for companies managing multiple policies, ensuring that pertinent information is transmitted securely and efficiently, like the DL 11Cd form, which also emphasizes timely and accurate reporting.

The Contact Sheet used in correspondence between insurance companies and the DMV shares a similar purpose with the DL 11Cd form, in that it helps to establish clear lines of communication. This sheet collects essential contact information for the companies involved, allowing the DMV to reach out directly for any inquiries regarding insurance filings. Both documents aim to keep all parties informed and ensure compliance with state rules, facilitating smoother interactions between insurers and regulatory entities.

Dos and Don'ts

When completing the DL 11Cd form, adhering to proper guidelines is crucial for ensuring accuracy and compliance. Here are seven important do's and don'ts to keep in mind:

  • Do ensure that all required fields are accurately filled out to avoid delays.
  • Do provide your contact information clearly, including email and phone number, as this facilitates communication.
  • Do include the unique three-digit insurance company code when representing multiple companies.
  • Do retain copies of the submitted forms for your records, as this may be needed for future reference.
  • Don't leave any optional fields blank without a valid reason; incomplete information can lead to confusion or rejection.
  • Don't send forms without verifying that the data is accurate and complete.
  • Don't overlook any specific instructions related to media requirements for submissions; compliance is essential for acceptance.

Misconceptions

  • Misconception 1: The DL 11Cd form is only for new insurance companies.
  • This form is relevant to all licensed insurance companies that write automobile liability insurance in North Carolina, not just newcomers. It is essential for maintaining compliance.

  • Misconception 2: Submitting the DL 11Cd form is optional.
  • Filing the DL 11Cd form is mandatory for reporting new policies under North Carolina General Statute 20-309. Insurance companies must comply to ensure their records are accurate.

  • Misconception 3: The DL 11Cd form can be completed informally.
  • The form must be completed using the official format provided by the Division of Motor Vehicles. Incomplete or informal submissions can lead to delays or rejections.

  • Misconception 4: Failure to notify about policy cancellations has no consequences.
  • Notifying the Division of Motor Vehicles about policy cancellations using the FS-4 form is crucial. Failing to do so can lead to legal repercussions and impact the insurance company's compliance status.

  • Misconception 5: The DL 11Cd form only applies to personal vehicle insurance.
  • The form applies to both personal and commercial vehicle insurance policies. It is important for all insurers providing coverage for any type of vehicle to be aware of these requirements.

Key takeaways

Key Takeaways for Completing and Using the DL 11CD Form

  • The DL 11CD form is essential for insurance companies writing automobile liability coverage in North Carolina.
  • Notify the Division of Motor Vehicles (DMV) of any new policies written as per General Statute 20-309.
  • Submit electronic notifications if your company generates $25 million or more in annual vehicle insurance premiums.
  • Always appoint a liaison responsible for communication between the insurance companies and the DMV.
  • Forms FS-1 and FS-4 must be filed correctly to ensure compliance with state regulations.
  • Use the specified format and size for filling out paper forms—maintain dimensions of 7” x 4 ¼”.
  • When terminating a policy, use Form FS-4; for reinstatements or renewals without lapses, use Form FS-1.
  • Stay informed about revisions and updates regarding filing requirements to avoid penalties or delays.