Instructions vary by application type.
Original application: the Physician's Statement of Certification must be completed and signed by a qualifying authority; see back of form for qualifying authorities.
Original identification: a photocopy of a current Florida Driver License or a photocopy of a current Florida Identification Card is required.
Duplicate application: the Physician's Statement of Certification section does not have to be completed; the checkbox for Duplicate must be checked on the top.
Lost-in-transit application: the Physician's Statement of Certification section does not have to be completed; the checkbox for Lost-in-transit must be checked.
Section 2: the full printed name of the individual with the medical condition, who may be different from the registered owner.
| Question | Answer |
|---|---|
| Form Name | Form HSMV 83390 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 54 |
| Avg. time to fill out | 9 min |
| Edition | 07/25 |
| Issuing agency | Florida Department of Highway Safety and Motor Vehicles |
| Where to send | Bureau of Motorist Compliance 2900 Apalachee Pkwy, Mail Stop 97 Tallahassee, FL 32399 |
| Other names | HSMV 83390, HSMV83390, HSMV-83390, Form HSMV 83390, Application for Sunscreening Medical Exemption |
| Official source | Form HSMV 83390 (Rev 07/25), Florida Department of Highway Safety and Motor Vehicles |
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