AUTO IDENTIFICATION CARD
STATE FARM®
This card is invalid if the policy for which it was issued lapses or is terminated.
CALIFORNIA CAR INSURANCE CARD
IF YOU HAVE AN ACCIDENT-
NOTIFY POLICE IMMEDIATELY
POLICY NUMBER 500 7312-A28-05
INSURED 1. Get names, addresses, and phone numbers of persons involved and
witnesses. Also get driver license numbers of persons involved and license
DANILO NOVAISSANTANA
plate numbers/states of vehicles.
2. Promptly notify your agent, log on to statefarm.com®, or use the State
EFFECTIVE DATE OCT-20-2024 EXPIRATION DATE OCT-20-2025 Farm mobile app to file a claim.
CAR-YEAR/MAKE/VEHICLE IDENTIFICATION NUMBER 3. Don't admit fault or discuss the accident with anyone but State Farm or
police.
2017 LINCOLN MKZ HYBRID
3LN6L5MU7HR650026 For EMERGENCY ROAD SERVICE use the State Farm mobile app,
log on to statefarm.com, or call 877-627-5757.
COVERAGES
A, C, D500, G500, H, R1, U, U1 HOW TO IDENTIFY YOUR COVERAGES
The coverage provided by the policy meets the NAIC #25178
SEE POLICY FOR FULL NAME AND DEFINITION
minimum liability limits prescribed by law.
State Farm Mutual Automobile Insurance Company A Liability R1 Car Rental and Travel Expense
PO Box 853919 C Medical Payments S Death, Dismemberment and
Richardson, Texas 75085-3919 D Comprehensive Loss of Sight
G Collision U Uninsured Motor Vehicle
AGENT
WONG, DAVID F H Emergency Road Service U1 Uninsured Motor Vehicle - PD
267 MILLER AVE L Physical Damage Z Loss of Earnings
MILL VALLEY, CA 94941-2897
PHONE# 415-383-3888
STATE FARM®
Submit this card or a photocopy of this with your vehicle registration renewal.
One copy of this form should be carried in the vehicles at all times.
The form may be needed as evidence of insurance in court.
Emergency Road Service information is located on your insurance card.
1001188 2004 144750 201 10-20-2024
