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Form SI-04 Affidavit - Self-insurer's Use of Adjusting Company to Settle Claims - Nevada
What Is Form SI-04?
This is a legal form that was released by the Nevada Department of Motor Vehicles - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form SI-04?
A: Form SI-04 is an Affidavit for self-insurer's use of adjusting company to settle claims in Nevada.
Q: Who needs to use Form SI-04?
A: Self-insurers in Nevada who use an adjusting company to settle claims need to use Form SI-04.
Q: What is the purpose of Form SI-04?
A: Form SI-04 is used to provide information about the adjusting company being used by a self-insurer to settle claims in Nevada.
Q: Is Form SI-04 mandatory?
A: Yes, self-insurers must complete and file Form SI-04 if they are using an adjusting company to settle claims in Nevada.
Q: Are there any fees associated with filing Form SI-04?
A: No, there are no fees associated with filing Form SI-04.
Form Details:
- Released on September 1, 2018;
- The latest edition provided by the Nevada Department of Motor Vehicles;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form SI-04 by clicking the link below or browse more documents and templates provided by the Nevada Department of Motor Vehicles.
