SCDMV Form FR-003B. Application for South Carolina Self-Insurer

Form FR-003B is the application form used by individuals or businesses in South Carolina who want to become self-insured for motor vehicle liability. The form collects personal and contact information of the applicant, including their name, address, phone number, and email. It also asks for information about the entity, such as its trade name, business address, and federal employer identification number. Additionally, the form requires the applicant to provide details about their insurance coverage and financial responsibility.

This form is important for individuals or businesses who wish to assume the financial responsibility for their own motor vehicle liability claims instead of purchasing traditional insurance coverage. By becoming self-insured, the entity must demonstrate its ability to cover any potential claims and meet the specific requirements set by the South Carolina Department of Motor Vehicles (SCDMV). This form is essential in collecting necessary information to evaluate the applicant's eligibility for a self-insured certificate.

An example of a related form is SCDMV Form FR-003A, which provides details about the financial requirements for a self-insured certificate. While FR-003B focuses on collecting personal and contact information, FR-003A focuses on the financial aspect of the application process.