What happens if you were in a car accident and don't have insurance?

First you generally receive several tickets totalling hundreds of dollars. Then your drivers license is suspended. Next any vehicle registrations ( license plates ) you have will be revoked. In order to get your drivers license back you will likely need to obtain insurance and ask the insurance company to file an SR22 form for you. If you were the At Fault party, since you don't have insurance to cover the accident, then you need to pay out of your own pocket all expenses incurred by the other driver you hit, including property damage and vehicle repair bills and any medical expenses if you also injured someone in the other car. Failure to pay for the damages you caused will usually result in a mandatory drivers license suspension for 10 years or until such time as you pay for the damages you caused.