• Identification Card Submission Form

  • Please send us a photo of the front side of your Driver's License of state identification card. This is important for verifying your identity when billing your insurance. For minors, please send the identification card of the parent or guardian.

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  • We know this is a little tricky...Position the card so that it is close enough to fill most of the screen and straight as possible. Make sure the lighting is good, and watch your fingers!
  • Should be Empty: