Revised Laws of Saint Lucia (2021)

Schedule

[Regulations 3, 5, 6 and 14]
FORM A
[Regulation 3(1)(a)]
MOTOR VEHICLES INSURANCE (THIRD-PARTY RISKS) REGULATIONS
CERTIFICATE OF INSURANCE
Certificate No.Policy No.
1.Index mark and registration number of vehicle
2.Name of policy holder
3.Date of the commencement of insurance
4.Date of expiry of insurance
5.Persons or classes of persons entitled to drive
6.Limitation as to use*
I/We hereby certify that the policy to which this certificate relates is issued in accordance with the provisions of the Motor Vehicles Insurance (Third-party Risks) Act.
______________________
     Date of issue
______________________
     Time of issue
______________________
     INSURER
* Limitations rendered inoperative by section 11 of the Motor Vehicles Insurance (Third-party Risks) Act are not to be included under this heading.
FORM B
[Regulation 3(1)(b)]
MOTOR VEHICLES INSURANCE (THIRD-PARTY RISKS) REGULATIONS
CERTIFICATE OF INSURANCE
Certificate No.Policy No. (Optional)
1.Description of vehicles
2.Name of policy holder
3.Date of commencement of insurance
4.Date of expiry of insurance
5.Persons or classes of persons entitled to drive
6.Limitation as to use*
I/We hereby certify that the policy to which this certificate relates is issued in accordance with the provisions of the Motor Vehicles Insurance (Third-party Risks) Act.
______________________
     Date of issue
______________________
     Time of issue
______________________
     INSURER
* Limitations rendered inoperative by section 11 of the Motor Vehicles Insurance (Third-party Risks) Act are not to be included.
FORM C
[Regulation 3]
MOTOR VEHICLES INSURANCE (THIRD-PARTY RISKS) REGULATIONS
CERTIFICATE OF INSURANCE
I/We hereby certify that this covering note is issued in accordance with the provisions of the Motor Vehicles Insurance (Third-party Risks) Act.
Index Mark and Registration number of vehicle _________________________________
Make and Chassis No. (If not registered)_________________________________
______________________
     Date of issue
______________________
     Time of issue
______________________
     INSURER
FORM D
[Regulation 13]
MOTOR VEHICLES INSURANCE (THIRD-PARTY RISKS) REGULATIONS
CERTIFICATE OF FOREIGN INSURANCE
Certificate No.Policy No.
1.Date to which Certificate is valid
2.Identification mark and number or numbers and make of vehicle
3.Persons or classes of persons authorised to drive the vehicle.
4.Date of commencement of policy
5.Date of expiry of policy.
I hereby certify that this certificate is issued in accordance with the Motor Vehicles Insurance (Third-party Risks) Act.
Signed
________________________________
     LICENSING AUTHORITY