Florida DMV Forms

71054

Certification for Waiver of Skill Test for Military Personnel

71061

Military Insurance Affidavit

71120

Certification of Address (English)

71120SP

Certification of Address (Spanish)

71141

Driver’s License Hazardous Materials

71142

Parent Consent Form*

71142C

Non-Parent or Non-Legal Guardian Consent Form*

71142SP

Formulario A de Consentimiento Paterno.

71143

Parent Consent Form*

71143SP

Formulario B de Consentimiento Paterno (Spanish)

71144

Parent Proctoring Form (English)

71144SP

Supervisión del Padre de la Prueba en Línea del CARNET de Conducir de un Menor de Edad (Spanish)

72010

Report of Eye Exam*

72034

Request for Eligibility Review

72068

Identity Theft/Driver License Fraud Report Form*

72077

Release From Incarceration Form*

72112

Diabetes/Hypoglycemia Follow-up Form

72117

Loss of Consciousness Follow-up Form

72118

Diabetes Form

72119

Mature Driver Vision Test

72120

Application for Developmental Disability Designation

72190

Report a Driver Whose Ability is Questionable (English)

72190SP

Report a Driver Whose Ability is Questionable (Spanish)

72201

FRTP Rules of Professional Conduct*

72423

Medical Report

72480

Alcohol and Drug Usage Form

72481

Mental Status Examination Form

72835SP

Notificación a Estudiante sobre Elegibilidad para Conducir para Licenciarse (Spanish)

72836

Notificación a Estudiante para Programa de Educación en el Hogar (Spanish)

72862

Worthless Check Clearance (English)

72862SP

Worthless Check Clearance (Spanish)

72870

Student Notification for Driving Eligibility for Licensure

72871

Student Notification for Home Education Program

72997

Medical Advisory Board Recommendation Form

73209

Criminal Justice Information Request form*

73644

Driver License Refund Request* (English)

73644SP

Driver License Refund Request* (Spanish)

74007

Security Deposit Refund Request

74010

Court Authority to Reinstate (Failure to meet financial obligations suspension)

74014

Release in Full of All Claims* (English)

74014SP

Release in Full of All Claims* (Spanish)

74034

Judgment Consent Form (English)

74034SP

Judgment Consent Form* (Spanish)

74036

Agreement for Release and Monthly Repayment Note* (English)

74036SP

Agreement for Release and Monthly Repayment Note* (Spanish)

74038

Satisfaction of Judgment* (English)

74038SP

Satisfaction of Judgment* (Spanish)

74039

Authorization to Pay Security*

75710

Red Light Camera

75954

Florida Uniform Traffic Citation Transmittal Form*

77035

Application for Licensure to Conduct a Driving Under the Influence (DUI) Program

77054

Driving Under the Influence Programs Complaint form

77058

RiderCoach Apprentice Program Application (RCAP)*

77066

Ignition Interlock Medical Evaluation Form

77067

Application For Authority to Conduct Third Party Driver License Testing

77071S

Vehicle Registration Application for Commercial Driving School*

77072S

Commercial Driving School Student Contract

77073S

Application for an Instructor or Agent Certificate for Commercial Driving School*

77074S

License Application for Commercial Driving School

77078

RiderCoach Intern Form*

77079

RiderCoach Mentor Form*

77122

RiderCoach Personal Information & Qualifications*

78015

Worthless Check Hardship Hearing Form

78065

Application for Formal or Informal review of Driver License

78306

Application for Hardship or Administrative Hearing

80122

Application for Suspected or Reported Title and Registration Fraud*

81027

Assignment of Judgment*

81032

Application for Florida Certification of Mobile/Manufactured Home Installation Component or Product*

81095

MH/RV Complaint Registration Form

81401

Manufactured/Mobile Home Installer License Application*

81402

Installer Performance Bond

81404

Mobile Home Installation Decal Order Form*

81406

Application/Affidavit for Duplicate Mobile Home Installer License

81407

Affidavit for Replacement of Lost Mobile Home Installer Decals

82002

Initial Registration Fee Exemption Affidavit*

82012

Application for Certificate of Destruction*

82013

Certificate of Destruction (Sample only — do not fill out)

82026

Application For Bonded Title Affidavit*

82033

Title Surety Bond for a Motor Vehicle*

82039

Application for Multiple Certificate of Titles With/Without Registration*

82040 MH

Application for Certificate of Mobile Home Title

82040 MV

Application for Certificate of Motor Vehicle Title

82040 VS

Application for Certificate of Vessel Title

82042

Vehicle Identification Number and Odometer Verification*

82048

Vehicle Identification Number and Repossession Notice to Subsequent Lienholder*

82050

Notice of Sale and/or Bill of Sale for a Motor Vehicle, Mobile Home, Off-Highway Vehicle or Vessel*

82052

Electronic Signature Agreement

82053

Power of Attorney*

82054

Application for Original or Replacement Title Validation Sticker for an Off Highway Vehicle*

82078

Notification of Dispute of Registration Fees Paid to a Dealer for a Motor Vehicle*

82082

Off-line Issuance of a Pre-printed Temporary License Plate*

82083

Application to Become an Authorized EFS Agent/Change of Certified Service Provider*

82084

Dealer Plates for Heavy Trucks for Demonstration Purposes*

82089

Insurance Company Motor Vehicle Release Statement*

82090

Insurance Company Motor Vehicle Statement of Fact

82091

Reassignment Supplement to a Certificate of Title*

82092

Reassignment Document for an Electronic Certificate of Title*

82100

Affidavit for Change/Alteration of Body*

82101

Application for Duplicate or Lost in Transit/Reassignment Title for a Motor Vehicle, Mobile Home or Vessel Title Certificate*

82103

Affidavit for Change of Motor (MV manufactured prior to 1955)*

82105

Certified Official Weight Affidavit

82109

Application for Retirement of a Mobile Home Certificate of Title*

82137

Application for Derelict Motor Vehicle Certificate and Request to Cancel Title*

82139

Application for Notice of Lien/Reassignment of Lien or Notice to First Lienholder of Subsequent Lien*

82150

Application and Notice of Interest – Electronic Lien and Title Process*

82152

Application for Surviving Spouse Transfer of Title*

82175

Dealer Non-Delivery Affidavit*

82191

Notice Or Discharge Of Repossession Recovery Attempt

82192

Notice to Surrender Motor Vehicle/Vessel*

82195

Dealer Request for Registration Stop*

82260

Lien Satisfaction*

82363

Application for Salvage Title/Certificate of Destruction*

82498

Application for Notification of Dispute on a Wrecker Operator’s Lien for a Motor Vehicle, Mobile Home or Vessel*

82993

Application for Separate Odometer Disclosure Statement and Acknowledgment*

82994

Application for Motor Vehicle Dealer Title Reassignment Supplement (Sample only — do not fill out)

82995

Application for Motor Vehicle Power of Attorney/Odometer Disclosure (Sample only — do not fill out)

82996

Application for Motor Vehicle Dealer/Auto Auction or Customer Odometer Affidavit*

82997

Application for Authorization as a Private Rebuilt Motor Vehicle Inspection Facility

83000

Sample License Plate Request Form*

83007

Application for A Disabled, Disabled Veteran or Motorcycle International Wheelchair Symbol License Plate*

83016

Tax Collectors Mailing List

83020

Application for Front End License Plates*

83027

Application for HOV Decal*

83030

Application for U.S. Reserve or Florida National Guard License Plate*

83034

Application for Ex-Prisoner of War & Veteran

83036

Notice of Reassignment of Permanent Florida Governmental Agency License Plate*

83039

Disabled Parking Placard*

83041

Application for Amateur Radio License Plate*

83043

Personalized License Plate*

83045

Application for Registration of a Street Rod, Custom Vehicle, Horseless Carriage or Antique (Permanent)*

83060

Registration of Vehicle with Out-Of-State Lien*

83065

Application for Transporter License Plate*

83080

Eligibility Affidavit for Motor Vehicle Registration*

83081

Application for a Press (PRES) License Plate*

83088

Temporary 90 Day Employment (Sample only — do not fill out)

83090

Application by Florida Motor Vehicle Mobile Home or Recreational Vehicle Dealer for Temporary Plates*

83091

Application for Temporary License Plate*

83101

Missing License Plate, Decal or Placard Affidavit*

83109

Application for Legislative License Plate*

83110

Application for Registration of a Motor Vehicle for Agricultural (Restricted), Horticultural (Restricted), or “Goat” License Plate*

83140

License Plate Rate Chart

83145

Personalized License Plate Fee Schedule

83146

Application for Replacement license plate, validation decal or parking permit*

83330

Florida Insurance Affidavit*

83345

Certificate of Deposit Power of Attorney

83351

Cash On Delivery Unpaid Fees

83363

Application for License Plate or Decal Refund*

83390

Application for Sunscreening Medical Exemption*

83416

Request for Division of Motor Vehicle/Vessel Forms*

84003

Receipt and Certificate of Disposal for Obsolete License Plates

84013

Vehicle Purchase Record*

84014

Vehicle Sales Record*

84016

Temporary Tag Record*

84019

Application and Claim To Recover Compensation from the Mobile Home and Recreational Vehicle Trust Fund*

84026

Assignment of Claim/Suit*

84045

Registration of Mobile Home Dealer’s Salesperson(s)*

84050

Application for Dealer License Reprint*

84058

Vehicle Air Pollution Control Statement*

84061

Declaration Affidavit For A Motor Vehicle Which Will Be Titled and Registered In Another State or Country*

84200

Application for A Temporary “Supplemental” License for An Off-Premises Sale by A Motor Vehicle, Mobile Home or Recreational Vehicle Dealer*

84256

Application for a License as a Motor Vehicle or Recreational Vehicle Manufacturer, Importer, or Distributor or a Mobile Home Manufacturer*

84490

Statement of Builder*

84491

Statement of Builder (Additional Sheet)*

84901

Complaint Affidavit*

85008

International Fuel Tax Agreement, Florida Application*

85010

IFTA Decal Re-order Form

85017

Recordkeeping Agreement for FLORIDA Based Carriers Registered Under the IRP and IFTA*

85041

IRP/IFTA Address Change Form*

85083

IRP/IFTA E-File Request Form*

85100

Application to Replace an Apportioned License Plate and/or CAB Card*

85500

IRP Trucking Manual

85800

How to Calculate the International Fuel Tax Agreement Quarterly Tax Return

85900

International Registration Plan, Florida Application

85920

IFTA Trucking Manual

85921

International Fuel Tax Agreement, Florida Tax Return*

86009

Application for Temporary Exemption

86018

Surety Bond, Mobile Home Dealer*

86019

Surety Bond, Recreational Vehicle Dealer*

86020

Surety Bond, Motor Vehicle Dealer*

86029

Application for Reciprocal Inspection Exemption

86050

Surety Bond, Mobile Home Manufacturer*

86051

Surety Bond, Recreational Vehicle Manufacturer or Van Converter*

86056

Application for License as a Motor Vehicle, Mobile Home, or Recreational Vehicle Dealer*

86057

Florida Motor Vehicle Dealer Irrevocable Letter of Credit*

86058

Florida Mobile Home Dealer Irrevocable Letter of Credit*

86059

Florida Mobile Home Manufacturer Irrevocable Letter of Credit*

86060

Statement of Intent to Relinquish a Dealer License*

86064

Affidavit for Golf Cart Modified to a Low Speed Vehicle*

86065

Notification of Dispute on a Repossession Recovery Attempt for a Motor Vehicle*

86066

Affidavit for a Low Speed Vehicle Converted to a Golf Cart*

86072

Modification to Dealer License for Licensed Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers*

86218

Renewal Application: Mobile Home Manufacturer or Recreational Vehicle Manufacturer, Importer, or Distributor*

86219

Renewal Application: Motor Vehicle Manufacturer, Importer, or Distributor*

86720

Renewal Application Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers*

87002

Vessel Statement of Builder*

87008

Affidavit for Transfer/Sale on a Repossessed Vessel in Default of Contract*

87015

Application for Vessel Duplicate Registration, Replacement Decal and Change of Classification*

87017

Affidavit to Correct Vessel Length Documentation*

87183

Certification of Vessel Hull Identification Number*

87231

Application for ‘GOVERNMENTAL’ Vessel Registration Number*

87243

Antique Vessel Certification*

87244

Application to Register Non-Titled Vessels*

87307

Application for ‘Confidential’ Registration*

90010S

Florida Traffic Crash Report*

90010S E

Florida Traffic Crash Report (Event)

90010S ND

Florida Traffic Crash Report (Narrative)

90010S VP

Florida Traffic Crash Report (Vehicle/Person)

90011S

Accident Self Report*

90510

Request for Motor Vehicle/Vessel and Mobile Home Records Request form*

90511

Request for Driver License Records Request form*

92786

FRTP Quality Assurance Audit Form

94010

Sworn Statement for Crash Report

94010ADA

Sworn Statement for Crash Report (Accessible)

94250

Consumer Appeal Form*

96020

Public Official, Law Enforcement Agency Personnel and Others (Section 119.071 FS) – Request to Withhold Personal Information Form

96440

IRP/IFTA Power of Attorney and Instructions*

BAR1001

Affidavit Of Refusal To Submit To Breath And/Or Urine Test

BAR1002

Affidavit Of Refusal To Submit To Blood Test

DRIVER EXCHANGE

Accident — Driver Exchange of Information

HOPE DR HS1

Hope Scholarship Program Contribution Election

SS-5

Application for a Social Security Card