Edit, Download, and Sign the Insurance Affidavit in Lieu of a Title Form
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How do I fill this out?
To fill out this form, ensure all required information is provided. Double-check the vehicle details and owner information for accuracy. Finally, submit the completed form electronically as instructed.

How to fill out the Insurance Affidavit in Lieu of a Title Form?
1
Download the form from the MVA website.
2
Fill in the vehicle and owner information completely.
3
Specify the reason for not having a title.
4
Sign the form to certify the information is correct.
5
Submit the completed form electronically.
Who needs the Insurance Affidavit in Lieu of a Title Form?
1
Vehicle owners who lost their title due to theft.
2
Insurance companies needing to provide claims information.
3
Individuals whose vehicle title was damaged in an accident.
4
Applicants seeking a Salvage Certificate after a total loss.
5
Co-owners who need to establish shared ownership.
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What are the instructions for submitting this form?
Submit the completed form electronically to the MVA via the online submission portal at www.mva.maryland.gov. If preferred, you may also send it via fax to the MVA at 410-768-7005. For physical submissions, mail the form to the Motor Vehicle Administration, 6601 Ritchie Highway, N.E., Glen Burnie, MD 21062. Ensure you include all applicable fees with your submission.
What are the important dates for this form in 2024 and 2025?
Important dates regarding the Insurance Affidavit form include the submission deadlines associated with vehicle registration and title applications, which are typically set by the MVA annually.

What is the purpose of this form?
The purpose of this form is to provide a certifying document when a vehicle title cannot be presented. It serves as a legally binding affidavit for vehicle owners and insurance companies during title disputes or claims. This form enables the issuance of a Salvage Certificate necessary for re-registration or legal compliance after title loss.

Tell me about this form and its components and fields line-by-line.

- 1. Owner Name: Printed name of the vehicle owner.
- 2. Co-owner Name: Printed name of any co-owner of the vehicle.
- 3. Vehicle Identification Number (VIN): Unique identification number for the vehicle.
- 4. Application for Salvage Certificate: Indicates the request for a Salvage Certificate.
- 5. Odometer Disclosure: Details about the vehicle's odometer reading.
What happens if I fail to submit this form?
Failure to submit this form may result in delays in obtaining your vehicle's title or Salvage Certificate.
- Legal Implications: Not submitting the form can lead to unresolved ownership disputes.
- Financial Loss: Delays can affect insurance claims and associated financial settlements.
- Increased Processing Time: Submission failures can lead to longer wait times for title processing.
How do I know when to use this form?

- 1. Lost Title: When the vehicle's title has been lost.
- 2. Damaged Title: When the title is damaged and cannot be presented.
- 3. Insurance Settlement: For vehicles acquired through an insurance settlement.
- 4. Salvaged Vehicles: To certify salvage status for vehicle registration.
- 5. Title Disputes: In case of disputes regarding the vehicle title.
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