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In the State of Alaska, navigating the aftermath of a vehicle crash involves various legal and administrative steps, one of which includes the completion and submission of the Alaska 466 form. This critical document, issued by the Division of Motor Vehicles (DMV), serves multiple purposes. Primarily, it acts as a certificate of insurance, requiring individuals to furnish details about the crash, such as the date, location, and specifics related to the driver, owner, and the vehicle involved. The form also prompts for information on whether an applicable automobile liability insurance policy was in effect at the time of the incident. Furthermore, it plays a vital role in the enforcement of the state's mandatory insurance and financial responsibility laws, mandating that individuals demonstrate financial responsibility through one of several outlined methods. Failure to comply with these requirements can lead to severe consequences, including the suspension of driving privileges. The Alaska 466 form, therefore, not only facilitates the process of insurance verification following a crash but also ensures adherence to state laws aimed at maintaining financial responsibility. It is imperative that affected parties complete and dispatch this form to the DMV within 15 days from the date of the crash, especially in instances where the crash was not investigated by law enforcement and meets specific criteria regarding damage and injury.

Document Example

ALL date fields require

Month / Day / Year. Example: 11/4/11

STATE OF ALASKA - DIVISION OF MOTOR VEHICLES

CERTIFICATE OF INSURANCE

LAW ENFORCEMENT INCIDENT NUMBER:

CRASH

Date of Crash:

 

City Where Crash Occurred:

 

INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Driver

 

 

Name: _________________________________ Date of Birth: _____________

License #: _________________

State: ______

DRIVER

Mailing Address: _____________________________________________________________________________________________

 

 

 

Street or Box

City

State

Zip

 

Daytime Telephone:

 

E-mail:

 

 

OWNER

 

 

 

 

 

 

Driver

 

Name: _________________________________ Date of Birth: _____________

License #: _________________

State: ______

OF

Mailing Address: _____________________________________________________________________________________________

VEHICLE

 

 

Street or Box

City

State

Zip

VEHICLE

Year:

Make:

Model:

License Plate #:

VIN:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Did you have an automobile liability policy in effect covering this crash? YES † NO † Policy Number:

 

 

 

 

 

 

 

Name & Address of Insurance Agent:

 

 

 

Phone Number of Insurance Agent:

 

 

 

 

 

 

 

Name of Insurance Company:

 

 

 

 

 

Policy Period: Starting & Ending Dates

 

 

 

 

 

 

 

To

 

 

 

 

 

 

 

 

Your Signature:

 

 

 

Sign your form after printing.

 

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DO NOT WRITE BELOW THIS LINE. THE DIVISION OF MOTOR VEHICLES WILL CONTACT YOUR INSURANCE COMPANY.

Insurance Verification: If the motor vehicle liability insurance policy listed above was not in effect for the motor vehicle listed at the time of the crash please check the appropriate box below and mail or fax this form to the Division of Motor Vehicles at the address or fax number listed on the reverse of this form. If indicated coverage was in effect at the time of the crash, no action is required.

REASON NOT VERIFIED: † Insurance information is incorrect

† No insurance in effect at time of crash

Signature of

 

Date __

Authorized Representative

 

 

 

 

 

 

 

MANDATORY INSURANCE AND FINANCIAL RESPONSIBILITY NOTICE

If the actual or estimated damages of any one person’s property involved in the crash exceeds $501, or if there is any personal injury or death, you are subject to the Alaska mandatory insurance and financial responsibility laws. The mandatory insurance laws require you to file proof of insurance with the State of Alaska. Failure to do so will result in the suspension of your driver’s license.

The financial responsibility laws require a person to show financial responsibility by one of the following methods:

(1)an automobile liability insurance policy in effect at the time of the crash; (2) a release of liability; (3) a settlement agreement and proof of future financial responsibility (SR-22 insurance); (4) a deposit of security and proof of future financial responsibility (SR-22 insurance); (5) a finding of no liability by the court in a civil action (a finding of not guilty of a traffic citation does not apply). Failure to show financial responsibility by one of the listed methods will also result in the suspension of your driver’s license for a period of 3 years if there is a possibility you are liable.

After any suspension you must show future financial responsibility (SR-22 insurance), and pay a reinstatement fee of $100 to $500, in addition to the fee for the license being requested, to have your driving privileges restored. A notice of suspension returned by the post office because of an incorrect address on your driver’s license or DMV records will not invalidate the suspension if the notice was mailed to the last address you provided to DMV.

IMPORTANT: THIS FORM MUST BE COMPLETED IN FULL AND MAILED OR FAXED TO THE DIVISION OF MOTOR VEHICLES WITHIN 15 DAYS FROM THE DATE OF THE CRASH. A participant’s crash report is required if the crash was not investigated by a peace officer and the total amount of damage exceeds $2,000, or there was personal injury.

Mail or Email Completed Form To:

STATE OF ALASKA

DIVISION OF MOTOR VEHICLES ATTN: DRIVER SERVICES 4001 Ingra Street, Suite 101 Anchorage, AK 99503

Phone: (907) 269-5551

Form 466 (Rev. 06/2023)

Alaska.gov/dmv

E-mail: DOA.DMV.ADS@Alaska.gov

Document Specifics

Fact Detail
Purpose of Form 466 Used to provide proof of insurance and document information following a vehicle crash.
Governing Laws Alaska's mandatory insurance and financial responsibility laws.
Deadline for Submission Must be completed and sent to the Division of Motor Vehicles within 15 days from the date of the crash.
Consequences of Non-Compliance Failure to submit the form can lead to suspension of one's driver's license under Alaska law.

Instructions on How to Fill Out Alaska 466

When you've been involved in a vehicle crash in Alaska, it's essential to report the incident properly using Form 466 to comply with state law. This form helps in the official documentation of the crash and ensures that all necessary insurance information is accurately recorded. It is a critical step for fulfilling the requirements of both insurance and the Alaska Division of Motor Vehicles (DMV). Make sure to submit this form within 15 days from the date of the crash to avoid potential penalties. Below are the steps you need to follow to fill out the form correctly.

  1. Start with the Law Enforcement Incident Number section at the top. If a police report was filed, enter the crash report number provided by the officer.
  2. Fill out the Date of Crash and City Where Crash Occurred.
  3. Under the Driver Information section, provide your full Name, Date of Birth, Driver's License Number, and State where your license was issued.
  4. Enter your Mailing Address, including Street or Box, City, State, and Zip code. Also, provide a Daytime Telephone number and E-mail address.
  5. In the Owner of Vehicle section, if different from the driver, repeat the process of filling out the name, date of birth, license number, state, and address information.
  6. Detail the Vehicle Information including Year, Make, Model, License Plate #, and the VIN (Vehicle Identification Number).
  7. Answer YES or NO to the question about having an automobile liability policy in effect covering this crash.
  8. If you have insurance, provide the Policy Number, Name & Address of Insurance Agent, and Phone Number of Insurance Agent.
  9. List the Name of Insurance Company and the Policy Period (From - To).
  10. Sign and date the form at the bottom where indicated under "Your Signature."
  11. Do not write anything below the line that states, "DO NOT WRITE BELOW THIS LINE. THE DIVISION OF MOTOR VEHICLES WILL CONTACT YOUR INSURANCE COMPANY."

Once you have completed the form, mail or fax it to the Division of Motor Vehicles at the address or fax number listed on the form. It is important to ensure that the form is filled out in full and submitted on time to comply with Alaska's mandatory insurance and financial responsibility laws following a crash.

What You Should Know About This Form

What is the Alaska 466 form used for?

The Alaska 466 form is used to provide proof of insurance to the Division of Motor Vehicles (DMV) in the event of a vehicle crash. This form is a critical document for drivers to show that they had valid automobile liability insurance coverage at the time of the crash. It helps fulfill the requirements under Alaska's mandatory insurance and financial responsibility laws.

When must the Alaska 466 form be submitted?

This form must be completed in full and sent to the Division of Motor Vehicles within 15 days from the date of the crash. Timely submission is crucial to avoid penalties, including the suspension of driving privileges under Alaska's mandatory insurance laws.

What information is required on the Alaska 466 form?

Required information includes details about the crash, such as the date and city where it occurred, along with the driver's and vehicle owner's names, mailing addresses, and other personal details. Vehicle information, insurance policy details, and a section for insurance verification are also necessary parts of the form.

Who needs to fill out the Alaska 466 form?

Any driver involved in a vehicle crash occurring in Alaska, where the actual or estimated damages to any one person's property exceed $501, or there is any personal injury or death, must fill out this form. This is to comply with Alaska's mandatory insurance and financial responsibility laws.

What happens if the insurance information provided is incorrect or if there was no insurance in effect at the time of the crash?

If the insurance information is found to be incorrect or if there was no valid insurance coverage at the time of the crash, the form provides checkboxes for these situations. The DMV will then follow up according to Alaska's insurance verification process, which may include suspending the driver's license for failing to meet the state's insurance requirements.

How can the Alaska 466 form be submitted?

The completed form can be mailed or faxed to the State of Alaska Division of Motor Vehicles at the contact information provided on the form. Email submissions are not mentioned as an option.

What are the consequences of not submitting the Alaska 466 form?

Failing to submit the form within the 15-day timeframe can lead to the suspension of your driver's license. This is in line with the mandatory insurance and financial responsibility laws of Alaska, which aim to ensure all drivers carry adequate insurance coverage and are held accountable for their financial responsibilities in the event of a crash.

Is it necessary to keep a copy of the submitted Alaska 466 form?

Yes, keeping a copy of the submitted form for your records is highly recommended. This can serve as proof of compliance with Alaska's mandatory insurance laws and can be valuable if there are any discrepancies or follow-up inquiries from the DMV.

What does it mean to show future financial responsibility (SR-22 insurance)?

Showing future financial responsibility means that a driver must provide proof of holding a specific type of car insurance known as SR-22, following a crash. This is often required for drivers who have been found at fault in an accident or have violated traffic laws to an extent that necessitates such proof. It is an assurance to the state that the driver maintains adequate insurance coverage as part of their reinstatement requirements.

Common mistakes

When completing the Alaska Form 466, a number of common errors can occur. Being mindful of these mistakes helps ensure the form is filled out accurately, avoiding potential delays or issues with processing. Below are nine common mistakes made on the Alaska 466 form:

  1. Not reporting the exact date of the crash. It's crucial to provide the specific date when the crash occurred as it impacts the verification process.
  2. Leaving the law enforcement incident number blank. This number is vital for cross-referencing police reports and verifying information.
  3. Failing to accurately list the driver’s full name, date of birth, license number, and state. These details are essential for identifying the driver involved.
  4. Incorrectly or incompletely filling out the mailing address section for both the driver and the owner, if they are not the same person. This includes street or box, city, state, and zip code.
  5. Omitting daytime telephone number and email. Contact information is crucial for any follow-up or additional information required.
  6. Not specifying whether an automobile liability policy was in effect at the time of the crash by checking "YES" or "NO".
  7. Providing incomplete or incorrect insurance information, including policy number, agent’s name and address, agent's phone number, and the insurance company’s name. This is essential for verifying insurance coverage.
  8. Forgetting to include the policy period dates. Knowing the policy timeframe is important to establish coverage during the time of the crash.
  9. Sending the form after the 15-day deadline from the date of the crash. Timely submission is critical to comply with state requirements.

Avoiding these common mistakes can significantly streamline the process, ensuring compliance with Alaska's mandatory insurance and financial responsibility laws, and aiding in the swift handling of any claims or legal matters following a vehicle crash. Always double-check the form for accuracy and completeness before submission.

Documents used along the form

The Alaska 466 form is a critical document when reporting an automobile crash to the State of Alaska Division of Motor Vehicles (DMV), especially under circumstances that involve personal injury, death, or property damage exceeding $501. This form serves as a means to ensure that those involved in an automobile crash comply with the state's mandatory insurance and financial responsibility laws. Alongside the Alaska 466 form, there are several other forms and documents that are often needed either for compliance, legal, insurance, or personal record-keeping purposes following an accident. Understanding these documents will streamline the post-accident process for individuals involved.

  • Alaska Accident Report Form: This is a comprehensive report detailing the specifics of the crash, including the timeline, environment conditions, and witness statements. It’s typically required for accidents that were not investigated by law enforcement at the scene.
  • SR-22 Insurance Form: Also known as the Certificate of Financial Responsibility, this form proves that you carry the minimum car insurance coverage required by Alaska law. It’s usually required after certain convictions or as a condition for reinstating a suspended driver’s license.
  • Vehicle Release Form: If a vehicle was impounded as a result of the crash, this document is necessary to claim it back from the impound lot. It often requires proof of insurance and identification.
  • Property Damage Release Form: This form is used when there is an agreement between the parties involved in a crash regarding the compensation for property damage. It usually signifies the end of any claims process related to property damage from the accident.
  • Personal Injury Release Form: Similar to the Property Damage Release Form but specifically for injuries. Signing this document typically means agreeing to a settlement and absolving the other party of further liability associated with physical injuries from the crash.
  • Request for Driving Record: This is a request form to obtain a copy of your driving record from the DMV. It's often used for personal review, legal proceedings, or insurance purposes following an accident. It provides a history of violations, suspensions, and other traffic-related incidents.

Each of these documents plays a vital role in the aftermath of a vehicle crash, particularly in the State of Alaska. While the Alaska 466 form starts the process of legal and insurance notification, the other documents help in the comprehensive handling of the incident. They facilitate the process of claiming insurance, legal compliance, and financial responsibility following an accident. Keeping these documents in order and understanding their purpose ensures that individuals can navigate the post-accident procedures with more confidence and clarity.

Similar forms

The Alaska SR-22 form is analogous to the Alaska 466 form, primarily because both are deeply linked to the concept of proving financial responsibility following a vehicular incident. While the Alaska 466 form is designed for reporting a specific accident and the insurance details pertinent to it, the SR-22 form serves as a certification by the insurance company on behalf of the driver that the driver maintains the minimum amount of liability insurance required by state law. Essentially, both documents are crucial in the aftermath of an accident, ensuring compliance with Alaska's insurance regulations.

Another document that shares similarities with the Alaska 466 form is the DMV Accident Report Form used in various states. This form, like the Alaska 466, is typically required when an accident occurs that results in bodily injury, death, or significant property damage, and was not investigated by police at the scene. Both serve the purpose of documenting the incident for the DMV, aiding in both statistical record-keeping and decisions regarding the status of driving privileges.

The Vehicle Incident Report is also similar to the Alaska 466 form, especially regarding its use in documenting specific details of an accident or incident involving a vehicle. This report might be used within companies or organizations to record incidents involving company vehicles, focusing on details like those found on the Alaska 466, such as the location, driver information, and the circumstances of the incident. The key aim of both documents is to capture an official snapshot of the incident for record-keeping and liability purposes.

The Proof of Insurance Card, although not a form in the same sense as the Alaska 466, is related in its necessity following an accident. When an accident occurs, drivers are typically required to exchange insurance information, which is documented on the Alaska 466 form. The Proof of Insurance Card verifies that the driver has a valid insurance policy, a detail which is central to the Alaska 466 form's section on insurance verification.

The Claim Form for Auto Insurance is another document that is similar to the Alaska 466 form. After an accident, drivers must often fill out a claim form to their insurance company, detailing the circumstances of the accident, which mirrors the section of the Alaska 466 form where the driver lists the crash details and insurance information. Both documents are integral in the process of claiming insurance benefits following a vehicular accident.

The Release of Liability Form (also known as a damage waiver) shares its purpose with the Alaska 466 form in the aspect of accident aftermath management. While the Alaska 466 form helps document the incident for insurance and DMV purposes, a Release of Liability Form is often required to formally absolve a party of specific liabilities associated with an accident. Both documents can play pivotal roles in the financial and legal resolution post-accident.

The Personal Injury Protection (PIP) Application Form is akin to the Alaska 466 form as it pertains to insurance matters following a vehicle accident, specifically regarding injuries. Where the Alaska 466 form records the incident details for the DMV and insurance companies, the PIP application is utilized to request coverage of medical expenses under the driver's auto insurance policy, focusing on injury-related costs.

The Driver’s Crash Report Form, similar to what Texas implements, parallels the Alaska 466 form in its self-reporting nature. Drivers in Texas are required to fill out such a form for any accident that police do not report, which draws a direct line to the Alaska 466's use for crashes not investigated by law enforcement. Both forms collect comprehensive details about the crash for administrative and insurance evaluation purposes.

The Notification of Transfer Form, which is used when a vehicle ownership is transferred post-accident, is indirectly related to the Alaska 466 form. The aftermath of some accidents leads to a vehicle being totaled and subsequently sold or transferred. While the Alaska 466 form documents the accident itself, the Notification of Transfer would be the next step in the process for vehicles no longer retained by the owner.

Finally, the Uninsured Motorist Claim Form resembles the Alaska 466 form in the context of dealing with accidents involving an uninsured or underinsured driver. When a driver with insufficient or no insurance causes an accident, the victim may file this claim with their own insurance company. This process also necessitates detailed documentation of the incident, similar to the information captured in the Alaska 466, highlighting the situation and insurance details crucial for processing the claim.

Dos and Don'ts

When completing the Alaska 466 form, a Certificate of Insurance following a vehicle crash, it's critical to pay close attention to detail and follow instructions precisely. This document plays an essential role in ensuring compliance with Alaska's mandatory insurance and financial responsibility laws. Here is a compiled list of dos and don'ts to help guide you through this process effectively.

Dos when filling out the Alaska 466 form:

  • Verify all provided information is accurate: Before submitting, double-check the driver’s and owner's details, vehicle information, insurance policy number, and the contact information of your insurance agent.
  • Report the crash details accurately: Ensure that the date, city, and law enforcement incident number of the crash are precisely reported as inaccuracies can delay processing.
  • Include a daytime telephone number and email address: Providing reliable contact information ensures the DMV can reach you if there are any questions or further requirements.
  • Clearly indicate the insurance status at the time of the crash: Check the appropriate box to confirm whether you had an insurance policy covering the vehicle at the crash time.
  • Sign the form: Your signature is mandatory for validation. Ensure that you sign the form before submitting it.
  • Submit within the stipulated timeframe: Mail or fax the completed form to the Division of Motor Vehicles within 15 days from the date of the crash to avoid potential penalties.

Don'ts when filling out the Alaska 466 form:

  • Do not leave sections blank: Incomplete forms might be returned or delay the verification process. If a section does not apply, mark it as “N/A” (Not Applicable).
  • Do not provide false information: Furnishing inaccurate details can lead to severe legal consequences, including the suspension of your driver’s license.
  • Do not forget to report any personal injury or death: If the crash involved personal injury or death, it's imperative to indicate this, as it affects the mandatory insurance and financial responsibility requirements.
  • Avoid delays in submission: Failing to submit the form within the required 15 days may result in the suspension of your driver's license under Alaska’s mandatory insurance laws.
  • Do not disregard the insurance verification section: This part is crucial for the DMV’s process and must be filled out by your insurance company if there are discrepancies in coverage verification.
  • Do not skip the mandatory insurance and financial responsibility notice: Understanding your obligations under this notice is vital for compliance with state laws post-accident.

By following these guidelines, you can ensure a smoother interaction with Alaska's Division of Motor Vehicles, aiding in the quick processing of your Certificate of Insurance and helping to maintain your driving privileges in compliance with state laws.

Misconceptions

Understanding the Alaska 466 form can sometimes be confusing. Here's a clarification of common misconceptions:

  • Only the driver involved in the crash needs to fill out the form: This is incorrect. Both the driver and the owner of the vehicle, if they are not the same person, must provide their information, ensuring all details regarding the driver, owner, and the vehicle are fully documented.
  • The form is only necessary for severe accidents: The Alaska 466 form must be completed for any crash where the total damage exceeds $2,000, there was personal injury, or estimated damages to any one person’s property exceed $501. It is not reserved solely for major incidents.
  • Submitting this form means admitting liability: Completing and submitting the form is a requirement of the state to document the incident and does not serve as an admission of guilt or liability. It is a procedural step required by the Division of Motor Vehicles.
  • Insurance information is not compulsory if you’re not at fault: Regardless of fault, information about whether there was an automobile liability insurance policy in effect covering the crash is mandatory. It aids in the verification process by the Division of Motor Vehicles.
  • If the crash was not your fault, you don’t need to submit this form: The Alaska mandatory insurance and financial responsibility laws require documentation from all involved parties, not just those deemed at fault, to determine compliance with the state’s insurance regulations.
  • Personal contact information is optional: The provision of personal contact information, including a daytime telephone number and an email address, is crucial for the Division of Motor Motor Vehicles to follow up if further information or action is required.

Note that failure to comply with these requirements can lead to the suspension of driving privileges. Ensuring that the form is filled out completely and accurately is vital for all parties involved in a crash in Alaska.

Key takeaways

Filling out and using the Alaska 466 form is crucial following a vehicle crash. Here are six key takeaways to help individuals navigate this process efficiently:

  • The Alaska 466 form serves as a certificate of insurance and is required for incidents where damages exceed $501, or there is personal injury or death. This form helps to demonstrate compliance with Alaska's mandatory insurance and financial responsibility laws.
  • It is essential to report accurate and complete information about the driver, owner, and vehicle involved in the crash, including details like the driver's name, date of birth, license number, and the vehicle's year, make, model, license plate number, and VIN.
  • The form asks whether there was an automobile liability policy in effect covering the crash. Answering accurately is critical, as failure to comply with insurance requirements can lead to severe consequences, including the suspension of driving privileges.
  • If the listed vehicle liability insurance policy was not in effect at the time of the crash, one must check the appropriate box indicating the reason and submit the form accordingly. This step is essential for the Division of Motor Vehicles (DMV) to verify insurance coverage.
  • Submission within the specified timeframe is mandatory. The form must be completed in full and submitted to the Alaska Division of Motor Vehicles within 15 days from the date of the crash. Delayed submissions can result in penalties.
  • Understanding the mandatory insurance and financial responsibility notice is crucial. Anyone liable for a crash must show financial responsibility by one of the specified methods or face a license suspension of up to three years. After any suspension, showing future financial responsibility (like obtaining SR-22 insurance) and paying a reinstatement fee are required to restore driving privileges.

Note: Ensure that the form is mailed or faxed to the appropriate address or number provided by the Alaska Division of Motor Vehicles. Keeping a copy for personal records is also advisable. Compliance with these steps not only adheres to legal requirements but also assists in the smooth handling of any post-accident procedures.

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