Fillable Insurance Company Statement of Fact - Form VTR-331 INS

What Is the VTR-331 INS Form?

The VTR-331 INS form is a statement of fact provided by an insurance company. It's used primarily in Texas, in accident cases involving an uninsured motorist. The insurance company is required to inform the Department of Motor Vehicles (DMV) about the accident situation using this form. Details like the accident date, the insured's details, the policy details, and the nature of losses are outlined in this document.

Why is the VTR-331 INS form crucial?

The form plays a vital role in the insurance claim process. It's proof that an accident occurred involving an uninsured motorist. By providing precise details, the insurance company gives the Department of Motor Vehicles a clear picture of the incident. Consequently, the correct course of action can be taken by the DMV, including sanctions against the uninsured motorist.

How to Fill Out VTR 331 INS Form

To fill out the insurance company statement of fact form on the PDFliner website, follow these steps:

1. Start by entering the Vehicle Identification Number (VIN) in the designated field. Ensure the VIN is accurate as it is essential for vehicle identification.
2. Next, provide the Year, Make, Body Style, and Model of the vehicle. These details are typically found on the vehicle’s registration or title documents.
3. Enter the Previous Title/Document Number in the corresponding field. This number can be found on the vehicle’s last title document.
4. Input the Previous Title State, which refers to the state where the vehicle was previously registered or titled.
5. If applicable, provide the License Plate State and Number. This is optional if the vehicle no longer has a valid plate, but include it if available.
6. Under the Insurance Company Information section, enter the Company Name. This must be the official name of the insurance company that paid the claim for the vehicle.
7. Provide the Claim Payment Date. This is the date when the insurance claim for the vehicle was settled.
8. Fill in the Company Address, including the City, State, and Zip Code, where the insurance company is located.
9. For the Authorized Agent section, input the First Name, Middle Name, Last Name, and Suffix (if applicable) of the authorized agent submitting the form on behalf of the insurance company.
10. Optionally, you can provide the agent’s Email and Phone Number, but this is not mandatory.
11. If the vehicle was titled out of state, check the box labeled "This vehicle was previously titled out of state". Additionally, the insurance company must conduct a physical inspection of the vehicle, verifying the VIN as entered above.
12. In the Certification section, the authorized agent must certify that the claim was paid, two written notices were sent to the vehicle owner and lienholder, and any required payments to lienholders were made. This certification requires the agent's signature to confirm the accuracy of the information provided.
13. Finally, the Printed Name of the authorized agent should match the signature. Enter the Date when the form is being submitted.