Kemah, TX · Galveston County
Insurance Verification Form
Defendants use this form to provide the Kemah Municipal Court with insurance information connected to a citation.
What this form is
The Insurance Verification Form records a defendant’s contact details and cause or citation number, along with a signed statement that submitted insurance is valid and correct. It also acknowledges the defendant’s promise to appear and states that proof of insurance must be verified before a citation is dismissed. The form directs users to email it to the court.
Who needs it
A defendant submitting insurance to the Kemah Municipal Court in connection with a citation may use this form.
How to submit it
Email the completed form to [email protected], as directed on the form. It does not list a mailing address, portal, or fee.
About notarization
This form is signed without a notary; it includes the defendant’s sworn statement that submitted insurance is valid and correct, but identifies no separate notarized attachment or step.
How to submit this form
- 1
Download The Form
Download the Insurance Verification Form.
- 2
Complete The Form
Enter the cause or citation number, contact information, and required statement details.
- 3
Sign The Form
Review the statement and sign as the defendant.
- 4
Email The Form
Email the completed form to [email protected].
Frequently asked questions
- What is the Kemah Insurance Verification Form for?
- It lets a defendant provide insurance information and a signed statement to the Kemah Municipal Court in connection with a citation.
- What information does the form ask for?
- It asks for the cause or citation number, name, address, city, state and ZIP code, phone number, email, and the defendant’s signature.
- Do I need a notary for the Insurance Verification Form?
- No. The form has a sworn statement but no notary block or separate notarized step; the defendant signs the form.
- How do I submit the Insurance Verification Form?
- Email the completed form to [email protected], the address printed on the form.
Need something notarized?
This Insurance Verification Form doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.