Missouri Department of RevenueDeposit 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. A completed Affidavit (Form 4202) must be submitted along with one of the following:
- Cash deposit: You may deposit at least $60,000 in cash with the State Treasurer's Office and obtain a certificate to submit to the Department of Revenue. A completed Affidavit (Form 4201) must accompany the certificate;
- Certificate of deposit (CD): You may submit a CD valued to at least $60,000. A completed Affidavit (Form 4201) must accompany the certificate;
- Stocks/bonds: You may submit stock/bond certificate(s) valued to at least $60,000. A completed Affidavit (Form 4200) must accompany the certificate(s); 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 web site. A completed Affidavit (Form 4200) must accompany the securities.
The above items must be submitted to:
Missouri Department of RevenueATTN: Self-Insurance
PO Box 200
Jefferson City MO 65105-0200
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.