Form Hsmv 73644 PDF Details

Understanding the nuances of administrative forms is crucial for those seeking to navigate the various processes of state departments effectively. One such form within the Florida Division of Motorist Services is the HSMV 73644, specifically designed for individuals requesting a refund for a range of fees associated with motor vehicle services. This form allows applicants to request refunds for license fees, examination fees, service fees, FR re-fees, ID card fees, among other unspecified fees that may apply. Applicants must provide detailed information, including the date of application, office number, audit number, fees paid, and a thorough justification for the requested refund. Additionally, pertinent personal information such as name, address, driver license number, and date of birth are required to process the request. Completing, printing, and signing the form, followed by mailing it to the Division of Motorist Services, is the final step in submitting a refund request. Through this process, the HSMV 73644 form serves as a critical tool for individuals seeking restitution for various fees paid, following the outlined instructions carefully to ensure a successful application.

QuestionAnswer
Form NameForm Hsmv 73644
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesflorida prepaid refund request form, refund id requested, motorist division services, hsmv 73644 pdf

Form Preview Example

Division of Motorist Services

Refund Request

A refund is requested for the Following (Check proper box/boxes)

License Fee

Examination Fee

Service Fee

FR Re-fee

ID Card Fee

Other ________________________

List All Applications Pertaining to Refund Below:

Date (s) Applied

__________

Office # __________

Audit # (s) __________

Fees Paid __________

____

______

__________

__________

__________

____

______

__________

__________

__________

Justification for Refund (Explain Fully):

Name

Address

Driver License Number

Date of Birth

Total Refund

Office ID Examiner ID

Date

Customer’s Signature

 

Instructions: Please complete, print and sign this form.

Mail form to:

Division of Motorist Services

P.O. Box 5775

Tallahassee, FL 32314-5775

HSMV 73644 (Rev 07/11)

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Stage number 1 in completing hsmv 73644 form

2. Once this array of fields is complete, you have to add the necessary details in Date of Birth, Total Refund, Customers Signature, Office ID, Examiner ID, Name Address Driver License Number, Instructions Please complete print, and HSMV Rev so you're able to move forward to the next step.

Filling out section 2 in hsmv 73644 form

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