SCDMV Form FR-003C. Application for South Carolina Political Subdivision Self-Insurer

Form FR-003C is specifically designed for political subdivisions in South Carolina that want to become self-insured for their motor vehicle liability claims. A political subdivision can include counties, municipalities, school districts, or other government entities. The form collects personal and contact information of the applicant, as well as details about the political subdivision, such as its name, address, and federal employer identification number. It also requires the applicant to provide information about their insurance coverage and financial responsibility.

This form is necessary for political subdivisions in South Carolina who wish to assume the financial responsibility for their own motor vehicle liability claims instead of relying on traditional insurance coverage. By becoming self-insured, the political subdivision 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 eligibility of the political subdivision for a self-insured certificate.

An example of a related form is SCDMV Form FR-003B, which is the application form used by individuals or businesses in South Carolina who want to become self-insured. The main difference between FR-003C and FR-003B is that FR-003C is specifically tailored for political subdivisions, while FR-003B is for general self-insurers.