HSMV 82363: Florida Application for Salvage Title or Certificate of Destruction

Under Total Loss by Insurance Company, check Total Salvage Loss or Total Theft Loss, then enter Insurance Company Name, FEID Number, Address, City, State, Zip, Insurance Company Email Address, Policy Number, Claim Number, Date Declared Total Loss and Date Compensation Paid.

Under Uninsured or Self-Insured or Owner Retained, check Salvage by Owner (No Insurance Involved) or Salvage by Owner Retained (Insurance Paid Settlement), enter Owner Name, check DL/ID Number, FEID Number or Customer Number, then enter Address, City, State, Zip, Sex, Date of Birth, Owner Email Address and Date of Loss.

Under Section 2: Vehicle Description, enter Vehicle Identification Number, Year, Make, Body, Color, Florida Title Number, Previous State of Issue, License Plate Number, Net Weight, Length (ft), BHP/CC, GVW/LOC and Florida Current Date of Issue.

Section 3: see vehicle identification number verification. Section 4: Salvage Title or Certificate of Destruction Notation Information. Sections 5 and 6 are not required to be completed for total theft loss or "insurance declared total loss" vehicles. Section 5 is for insurance company or owner or self-insured or owner retained mobile home (80% of current retail cost). Enter the current retail cost of mobile home on line (a); use any official used mobile home guide to establish current value.

Multiply line (a) by .80 and enter the amount on line (b).

Enter the estimate of cost to repair physical and mechanical damage on line (c).

After entering lines (b) and (c), if the amount on line (c) is equal to or more than the amount on line (b), check Certificate of Destruction (unrebuildable).

Insurance Company or Owner Retained Only: after entering lines (b) and (c), if line (c) is less than line (b), check the applicable box, Rebuildable or Rebuildable Flood.

Owner or Self-Insured Only: if requesting a rebuildable (when less than 80%), check the applicable box, Rebuildable or Rebuildable Flood.

Section 6 is for an insurance company or owner or self-insured or owner retained motor vehicle (90% of current retail cost), for a late model vehicle (7 years or newer) with a retail cost of at least $7,500 (before sustaining damage) (checked November 2, 2026).

Enter the current retail cost of motor vehicle on line (a); use any official used car guide or valuation service to establish current value.

Multiply line (a) by .90 and enter the amount on line (b).

Line (c) is the estimate of cost to repair physical and mechanical damage.

Insurance Company or Owner or Self-Insured or Owner Retained: after entering lines (b) and (c), if the amount on line (c) is equal to or more than the amount on line (b), check Certificate of Destruction (unrebuildable).

For Insurance Company or Owner Retained Only: after entering lines (b) and (c), when the amount on line (c) is less than the amount on line (b), check the applicable box, Rebuildable or Rebuildable Flood.

Owner or Self-Insured Only: after entering lines (b) and (c), if the amount on line (c) is less than the amount on line (b) and equal to at least 80% (less than 80% would remain a clear title) of the cost to repair, or requesting a rebuildable, check the applicable box, Rebuildable or Rebuildable Flood.

Section 7 is for a motor vehicle worth less than $7,500 or not a late model vehicle (more than 7 model years old) (checked November 2, 2026). a. If it has been damaged, wrecked, or burned resulting in the residual value only being for parts or scrap metal, check Certificate of Destruction (unrebuildable). b. If it has not been damaged, wrecked, or burned resulting in the residual value only being for parts or scrap metal, check the applicable box, Rebuildable or Rebuildable Flood. 7,b. applies to Insurance Company Only or Owner Retained, not Owner or Self-Insured. Section 8: if the motor vehicle came to Florida with a title or ownership document indicating it is not repairable, junked or for parts only, regardless of age or value, check Certificate of Destruction (unrebuildable).

Section 9: if requesting a Certificate of Destruction (regardless of age or model year), check Certificate of Destruction (unrebuildable). Section 10: if the motor vehicle is a total theft loss, check Total Theft Loss.

Section 14: Federal and State law require that you state the mileage in connection with an application for Certificate of Title.

Failure to complete or providing a false statement may result in fines and/or imprisonment.

Check 5 or 6 digit, enter the odometer reading in miles (no tenths) and the date read, then check 1. reflects actual mileage, 2. is not the actual mileage, or 3. is in excess of its mechanical limits.

The odometer declaration on this form should not be completed when the vehicle being titled is exempt from odometer disclosure requirements. Exemptions: a motor vehicle with a model year of 2011 or newer is exempt after twenty (20) years. A motor vehicle with a model year of 2010 or older is exempt after ten (10) years, has a gross vehicle weight rating (GVWR) of more than 16,000 pounds or is not self-propelled.

Section 15: The undersigned applicant hereby certifies that the motor vehicle to be titled will not be operated upon the highways of this state.

Under penalties of perjury, you declare that you have read the document and that the facts stated in it are true, and you agree to defend the title against all claims. Sign Applicant or Authorized Agent's Signature and enter Applicant or Authorized Agent's Printed Name.

Section 17 requires a physical inspection and a verification of the vehicle identification number (VIN) (or the motor number for motor vehicles manufactured prior to 1955) of the motor vehicle described on this form by a licensed Florida dealer, Florida Notary public, law enforcement officer, or authorized FLHSMV, tax collector (TC) or license plate agency (LPA) employee.

Complete this section on all used motor vehicles, including trailer (with abbreviation of "TL" and a weight of 2,000 lbs. or more) not currently titled in Florida.

Enter Vehicle Identification Number, Name of Certifying Inspector, Signature of Certifying Inspector and Date, then check the option that best represents the certifying inspector: Law Enforcement (Agency Name, Badge Number), Florida Notary Public, Florida Dealer (Dealer Name, Dealer Number), FLHSMV (Office Name, User ID/Badge), or Tax Collector or License Plate Agency (Agency Name, County/Agency).

The VIN verification on this form does not have to be completed when it is involving a new motor vehicle, mobile home, travel trailer, camping trailer, fifth wheel recreational vehicle, trailer or semi-trailer with a net weight of less than 2,000 pounds. It also does not have to be completed when a Florida certificate of title is submitted as proof of ownership or when form HSMV 82042 has been completed and is attached.

Please submit this form to your local tax collector office or license plate agency.