Financial Responsibility Affidavits

A Financial Responsibility Affidavit is a notarized statement issued by the department upon request from an individual or his representative stating whether a person involved in an crash has filed an owner/operator report indicating liability insurance for a specific crash. If this notarized statement is requested, then there is a charge of $5 (cashier's check or money order made payable to the Tennessee Department of Safety). The request should include:

  1. Name of person involved in the crash.
  2. Driver license number of person involved in crash.
  3. Date of accident
  4. County of accident.

Mail the request to:
Financial Responsibility Division
Tennessee Dept of Safety
PO BOX 945
Nashville, TN 37202

Please allow two weeks from mailing date for return of affidavit.


A SR-22 form is proof of future financial responsibility as required under Tennessee Code Annotated 55-12-114. If you are required to file a SR-22, then you should contact your liability insurance representative and advise them of the needed filing with our state. The form must be filed by an insurance company licensed through the Tennessee Department of Commerce and Insurance to issue motor vehicle liability insurance coverage in Tennessee. The minimum limits of liability required in Tennessee are 25/50/15. Our department cannot furnish blank forms. The form must be issued from a liability insurance company. For the cost of this type insurance you will need to check with your insurance agent. The insurance company determines the cost.

A SR-22 can be required for a total of 5 years from your date of suspension. If the SR-22 is filed for a total of 3 years (36 months) within the 5-year period, the SR-22 may be cancelled provided it is not required on any other suspension. If 5 years pass from the date of suspension before you reinstate your privileges, then the SR-22 would not be required. If the SR-22 is cancelled before the required time and a new form not filed, your driving privileges will be suspended.