Deposit of Cash or Negotiable Securities

Statutory reference: Section 303.240, RSMo.

You may submit a deposit of cash or negotiable securities as proof of financial responsibility. To do so, you must submit:

• A completed Agreement to Pay Judgments (Form 5317);
• A completed Affidavit for Assignment of Securities (Form 4201);
• A completed Affidavit of no Unsatisfied Judgments (Form 4202); and
• One of the following:
  • Cash deposit: You may deposit at least $75,000 in cash with the State Treasurer's Office and obtain a certificate to submit to the Department of Revenue;
  • Certificate of deposit (CD): You may submit a CD valued to at least $75,000;
  • Stocks/bonds: You may submit stock/bond certificate(s) valued to at least $75,000; or
  • Other negotiable securities: You may submit an acceptable form of negotiable securities. Refer to the list of acceptable securities located on the State Treasurer's website.

The above items must be submitted to:

Within two weeks of receiving your request, our staff will issue your certificate of self-insurance and identification cards, or issue a letter denying your request.