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This form is for any defendant who is required to provided proof of insurance to the Court. This form is NOT for attorneys working with the Prosecutor.
After your proof of insurance has been submitted, it will be reviewed by the Court. You will be contacted by the email or phone number provided with additional information regarding your case. If you don't receive anything from the Court within 2 business days, please contact us immediately to ensure there are not any errors with your submission.
DO NOT ASSUME YOUR CASE HAS BEEN CLOSED AFTER COMPLETING THE FORM.
Your can look up information or sign up for alerts regarding your case online at www.courts.mo.gov/ticket.
Case numbers should be for failure to provide proof of insurance only.
Provide a copy of the insurance card or deck page that covers the date of your violation.
DISCLAIMER: By typing your name below, you are signing this form electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this form.
This field is not part of the form submission.
* indicates a required field