Form Hsmv 73644 PDF Details

If you've been in an accident in Florida and have received a traffic ticket, you may be wondering what to do next. You may need to take action to clear your name and keep your driving record clean. One option is to fill out form Hsmv 73644 and submit it to the Department of Highway Safety and Motor Vehicles. This form can help you dispute a traffic ticket or citation. If you're not sure how to complete the form or what information to include, read on for tips.

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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With regards to the blank fields of this particular form, this is what you should consider:

1. When completing the refund division motorist, ensure to include all essential blanks within its corresponding area. This will help to hasten the work, allowing for your details to be processed efficiently and accurately.

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

Be very attentive while filling out Instructions Please complete print and Office ID, as this is the section where most people make errors.

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