Sec. 4. A person who is presented with a request for evidence of financial responsibility under this chapter shall direct the insurance company of the person to set forth in the certificate of compliance the following information concerning the form of financial responsibility that was in effect on the date in question:

(1) If a motor vehicle liability policy was in effect, the following:

(A) The name of the insurer.

(B) The identification number applying to the policy.

(C) Dates of coverage of the policy.

(D) Confirmation that financial responsibility covering the motor vehicle or operator, as applicable, was in effect on the date in question.

(E) Other information requested by the bureau.

(2) If a bond was in effect, the following:

(A) The name and address of the bond company or surety.

(B) The face amount of the bond.

(C) Dates the bond was in effect.

(D) Other information requested by the bureau.

(3) If self-insurance was in effect under IC 9-25-4-11, the following:

(A) The date on which the certificate of self-insurance was issued by the bureau.

(B) The name of the person to whom the certificate of self-insurance was issued.

(C) Other information requested by the bureau.

As added by P.L.59-1994, SEC.10. Amended by P.L.125-2012, SEC.286; P.L.59-2013, SEC.33.