TEMPORARY AUTO

IDENTIFICATION CARD
STATE FARM®
This card is invalid if the policy for which it was issued lapses or is terminated.

CAR INSURANCE CARD IF YOU HAVE AN ACCIDENT-

POLICY NUMBER 42 -2443-Y46
INSURED GREEN, VALARIE J
EFFECTIVE DATE JUN-02-2021
NOTIFY POLICE IMMEDIATELY
1. Get names, addresses, and phone numbers of persons involved and
witnesses. Also get driver license numbers of persons involved and license
plate numbers/states of vehicles.
2. Don't admit fault or discuss the accident with anyone but State Farm or
police.
EXPIRATION DATE JUL-31-2021
3. Promptly notify your agent, log on to statefarm.com , or use the State
®

CAR-YEAR/MAKE/VEHICLE IDENTIFICATION NUMBER Farm mobile app to file a claim.

2003 DODGE RAM 1500 QUAD CAB 2W For EMERGENCY ROAD SERVICE use the State Farm mobile app,
1D7HA18DX3J574820 log on to statefarm.com, or call 877-627-5757.

COVERAGES If coverage A is indicated on the left side of this card, then the
A BODILY INJURY/PROPERTY coverage provided by the policy meets the requirements of the
DAMAGE LIABILITY Tennessee Financial Responsibility Law of 1977.
C MEDICAL PAYMENTS
H, U1 HOW TO IDENTIFY YOUR COVERAGES

AGENT
TEMPORARY
LOFTON INS AND FIN SVCS
NAIC # 25178
A
SEE POLICY FOR FULL NAME AND DEFINITION

Liability S Death, Dismemberment and

C Medical Payments Loss of Sight
238 E MAIN ST STE C
SEVIERVILLE, TN 37862-3531 D Comprehensive U Uninsured Motor Vehicle - BI
G Collision U1 Uninsured Motor Vehicle - BI/
PHONE# 865-365-3023 H Emergency Road Service PD
L Physical Damage UNOC Use of Nonowned Cars
STATE FARM® R1,R2 Car Rental and Travel Expenses Z Loss of Earnings

Because many states require evidence of insurance on demand, one copy of this form
should be carried in the vehicle at all times.

Emergency Road Service information is located on your insurance card.

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