Florida Insurance Affidavit Hsmv 83330 Details

If you are a Florida resident and plan on traveling out of state, you will need to fill out a Florida Hsmv 83330 form. This form is used to inform the Department of Highway Safety and Motor Vehicles (DHSMV) that you are leaving the state and provide them with your travel plans. Filling out this form is important, as it allows the DHSMV to keep track of who is travelling in and out of the state. Make sure to submit this form at least seven days before you leave so that there are no delays in getting your license renewed or updated. If you have any questions about this process, please don't hesitate to contact us.

You may find information about the type of form you wish to submit in the table. It will show you the amount of time you will require to fill out florida hsmv 83330 form, exactly what parts you need to fill in, and so forth.

QuestionAnswer
Form NameFlorida Hsmv 83330 Form
Form Length1 pages
Fillable?Yes
Fillable fields8
Avg. time to fill out1 min 51 sec
Other namesflorida insurance affidavit hsmv 83330, 83330, florida insurance affidavit form hsmv 83330, florida insurance affidavit

Form Preview Example

FLORIDA INSURANCE AFFIDAVIT

Under penalty of perjury, I __________________________________________ certify that I have

(Name of Insured)

Personal Injury Protection, Property Damage Liability, and, when required, Bodily Injury Liability

Insurance currently in effect with _____________________________________________ under

(Name of Insurance Company)

__________________________ ____________________ covering the following motor vehicle:

(Policy Number) Company Code Number (5 digits)

_________________________________________________________________________________________________________

Year

Make

Vehicle Identification Number

This insurance company is licensed to issue insurance policies in Florida. I understand that my driver license, license plate(s) and registration(s) will be suspended effective from the registration date, if the insurer denies that this policy is in force.

_______________________________________

Signature of Insured

WARNING: GIVING FALSE INFORMATION IN ORDER TO OBTAIN A VEHICLE REGISTRATION CERTIFICATE IS A CRIMINAL OFFENSE UNDER FLORIDA LAW. ANYONE GIVING FALSE INFORMATION ON THIS AFFIDAVIT IS SUBJECT TO PROSECUTION.

HSMV 83330 (Rev. 09/09)

www.flhsmv.gov

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83330 form blanks to complete

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