North Dakota Department of Transportation · North Dakota state form

General Release SFN 5441

SFN 5441 releases a named party from claims related to crash damages. The party giving the release signs it before a notary.

What this form is
Use General Release SFN 5441 to release and discharge a named party from claims related to damages resulting from a crash. The form asks for the crash date and location, and the party giving the release must sign and print their name. The signature must be notarized. Return the signed notarized original to the Driver License Division at the address printed on the form.
Who needs it
A person giving a release to a party in connection with claims for damages resulting from a crash may use this form.
Why it needs a notary
The form includes a notary jurat, so the signature must be notarized. This can be done online with a commissioned online notary.
How to submit it
Return the signed notarized original to the Driver License Division at the address printed on the form.

Questions

What is SFN 5441 used for?

SFN 5441 is a general release for claims related to damages resulting from a crash. It identifies the party being released and asks for the crash date and location.

Does SFN 5441 need to be notarized?

Yes. The form includes a notary jurat, so the party giving the release must sign before a notary. This can be done online with a commissioned online notary.

How do I submit SFN 5441?

Return the signed notarized original to the Driver License Division at the address printed on the form.