South Dakota

This state form does not allow saving directly to your computer. You must print this form, then either mail to Swire or scan to computer and submit electronically from the Customer Forms page.

• Completely fill out sections 1 – 3.

• Check appropriate boxes in sections 4 – 5.

• Please sign, and date in order to validate this certificate.

South Dakota Multi-state Supplemental form only needs to be filled out if certificate is to cover more than one state.