Insurance is mandatory for all vehicles in Italy. A "green card" (carta verde) - frontier insurance valid for 15, 30, or 45 days - should be issued to cover your car before your trip to Italy. If you are in Italy for more than 45 days you must have a regular Italian insurance policy.
If you are planning to rent a car in Italy you do not need a green card or an international drivers license, but you will require a valid insurance coverage which can be included in the cost of the rental. Medical insurance may not be included and a separate policy may be advisable.
If a person other than the owner drives a temporary imported vehicle, this person must have certified authorization from the owner and cannot be a resident of Italy. You are not allowed to rent, lend, pawn, sell or give away any temporarily imported vehicle.

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