Kerrville, TX · Kerr County
Insurance Carrier Attestation
An insurance company representative completes this form to attest that a defendant had automobile liability insurance when a Kerrville Municipal Court citation was issued.
What this form is
The Insurance Carrier Attestation lets an insurance company representative confirm that a defendant had automobile liability insurance in force on the citation date. The representative provides company and contact details, citation information, and a signature and date. Attach a copy of the policy or insurance verification card; the defendant must appear as an insured or permissible driver on the policy.
Who needs it
An insurance company representative completes this form when providing proof that a defendant was covered on the date of a Kerrville Municipal Court citation.
How to submit it
Attach a copy of the policy or insurance verification card, then fax the form to (830) 792-5773 or email it to [email protected].
About notarization
This document is signed without a notary; the insurance representative signs and dates it and attaches a policy copy or insurance verification card.
How to submit this form
- 1
Download The Form
Download the Insurance Carrier Attestation PDF.
- 2
Complete The Form
Enter the defendant and citation information, insurance company details, representative’s signature, and date.
- 3
Gather The Attachment
Attach a copy of the policy or insurance verification card showing coverage was in force on the citation date.
- 4
Submit To The Court
Fax the form and attachment to (830) 792-5773 or email them to [email protected].
Frequently asked questions
- Who completes the Insurance Carrier Attestation?
- An insurance company representative completes and signs the form to attest that the defendant had automobile liability insurance in force on the citation date.
- What must be attached to the form?
- Attach a copy of the insurance policy or an insurance verification card showing that coverage was in force on the citation date. The defendant must appear as an insured or permissible driver.
- How do I submit the Insurance Carrier Attestation?
- Fax the completed form and attachment to (830) 792-5773 or email them to [email protected].
- Do I need a notary for the Insurance Carrier Attestation?
- No. The insurance representative signs and dates the form without a notary; attach a copy of the policy or insurance verification card.
Need something notarized?
This Insurance Carrier Attestation doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.