CA DMV Form OL 319. Autonomous Vehicle Tester (AVT) Program Application for Certificate of Self-Insurance

Form OL 319 is utilized by Autonomous Vehicle Testers (AVTs) participating in the AVT Program in California to apply for a Certificate of Self-Insurance. AVTs are required to provide evidence of insurance, and this form allows them to certify self-insurance.

The form consists of sections where the AVT can provide their business information, contact details, and vehicle information. It may also include sections for insurance policy details, coverage limits, and any additional requirements or disclosures related to self-insurance.

Important fields in this form include the AVT's business name, address, phone number, and email address. Additionally, detailed information about the vehicles being covered under the self-insurance certificate, including vehicle identification numbers (VINs), make, model, and year, may need to be provided. It is essential to accurately fill out all required information and ensure compliance with insurance regulations to obtain a Certificate of Self-Insurance.

Application Example: An AVT participating in the AVT Program in California would use this form to apply for a Certificate of Self-Insurance. By completing the form with accurate and complete information about their business, contact details, and the vehicles covered, the AVT demonstrates their compliance with insurance requirements. This form is crucial for AVTs to demonstrate financial responsibility and legal compliance while operating autonomous vehicles.

Related Forms: A related form to consider is Form OL 319A, which is used by AVTs deploying autonomous vehicles (AVs) to apply for a Certificate of Self-Insurance. While Form OL 319 applies to AVTs participating in the AVT Program, Form OL 319A specifically addresses AVTs deploying AVs. Both forms serve the purpose of certifying self-insurance, but the distinction lies in the stage of involvement in the AVT Program.