If you have been in an auto accident...
the State of Indiana requires you to complete an SR-21 form. The SR-21 is an insurance verification form that must be completed whether you are at fault or not.
Download the SR-21 form
Complete the accident information section including driver information and return the form to our office for completion of the insurance section. We will forward the form to the state on your behalf. The state requires the form be filed within 10 days of the accident.
By filing the SR-21 you are not filing a claim with your insurance carrier. If you wish to file an insurance claim you must contact our office or the appropriate claim number listed above.