Form Hsmv 85100 PDF Details

The Department of Highway Safety and Motor Vehicles provides a variety of forms to help motorists with their driving needs. The Hsmv 85100 form is one such form, which can be used to request a duplicate driver license. This form can be downloaded from the department's website, and it requires certain information to be submitted in order for the request to be processed. In addition, there may be specific requirements that must be met in order to obtain a duplicate driver license. For more information on this process, motorists are advised to visit the department's website or contact their local office.

QuestionAnswer
Form NameForm Hsmv 85100
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesflorida irp application, florida irp online, florida form 85100, irp document

Form Preview Example

DIVISION OF MOTORIST SERVICES

Bureau of Commercial Vehicle and Driver Services

www.flhsmv.gov

APPLICATION TO REPLACE AN

APPORTIONED LICENSE PLATE AND/OR CAB CARD

Replacement Plate

 

 

Replacement Cab Card

 

(By Mail $39.80)

 

 

(By Mail $5.75)

 

 

 

 

 

 

 

 

 

IRP ACCOUNT #:

 

FLEET #:

 

 

 

 

 

 

 

Mail new license plate/cab card to:

 

 

 

 

DOT Corrections (By Mail $5.75)

DOT #:

Owner/Registrant Name

Current Mailing Address

Address on Registration

City

State

Zip

City

State

Zip

Email Address (optional):

Vehicle Identification Number:

Year

Make

Body

 

 

 

 

Title Number

Plate Number

Unit Number

Weight

 

 

 

 

REPLACEMENT REASON: (Check applicable box):

Damaged

Defaced

Lost

Stolen, no case #

 

Stolen, case #:

 

(No Fee)

Lost-in-transit (applied for and never received)

(No Fee)

Carrier Responsible for Vehicle Safety: (Attach lease agreement, if necessary)

US DOT number assigned to vehicle:

Tax payer Identification Number (EIN, SSN) assigned to vehicle:

Will the designated carrier responsible for safety change during the year?

YES

NO

I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THE ABOVE STATEMENTS ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF.

Signature of Owner/Registrant

DATE

HSMV 85100 (Rev. 2/14)

PROCEDURES AND INSTRUCTIONS

PROVISIONS OF LAW

Section 320.0607, Florida Statutes, provides for the replacement of license plates and cab cards when the original plate or cab card has been lost, stolen, defaced, damaged, or lost in transit.

APPLICATION REQUIREMENTS

Application for replacement of apportioned plates or cab cards must be processed by the Bureau of Commercial Vehicle and Driver Services.

An application for the replacement of apportioned plates or cab cards must be legibly completed in detail.

REPLACEMENT TYPES

DAMAGED:

A damaged license plate is when the license plate has sustained physical damage.

EXAMPLE: Something struck the license plate and dented the letters or numbers, customer has waxed or pressure-washed the letters off of the license plate, etc.

Replacement fees are required, unless law enforcement has issued a citation to the customer. If a citation has been issued, the owner must surrender the damaged license plate (along with a copy of the citation) to obtain a replacement at no fee.

DEFACED:

A defaced license plate is when the license plate has not sustained physical damage, but is unreadable for some other reason. EXAMPLE: The sun has faded the letters or numbers on the license plate.

Replacement fees are required, unless law enforcement has issued a citation for the defaced license plate. The owner must surrender the defaced license plate (along with a coy of the citation) to obtain a replacement at no fee.

LOST (not stolen)

Replacement fees are required.

LOST-IN-TRANSIT

Applications for the replacement of apportioned license plates or cab cards that have been lost-in-transit will be processed by the Bureau of Commercial Vehicle and Driver Services at no charge for 180 days from the date of issuance.

This transaction MUST be signed as indicated on the front of this form.

STOLEN

Applications for the replacement of apportioned license plates or cab cards that have been stolen will be processed by the Bureau of Commercial Vehicle and Driver Services at no charge when the case number issued by the law enforcement agency that the theft was reported to is included. If the theft is not reported or a case number is not assigned, the replacement fee will be charged.

DOT CORRECTIONS

A DOT Correction is when you have changed the USDOT number on the vehicle. If the carrier responsible for vehicle safety is different from the registrant then a copy of the signed lease agreement must also be submitted. You will receive a corrected cabcard only with the new DOT information.

GENERAL INFORMATION

All defaced or damaged license plates must be surrendered for cancellation when

application for a replacement license plate is made.

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Stage number 1 for filling out irp application form florida

2. Once your current task is complete, take the next step – fill out all of these fields - Is the designated carrier, YES NO, I HEREBY AFFIRM UNDER PENALTY OF, Registrant, Company Officer SUNBIZ REGISTRATION, Signature, Date, FOR OFFICIAL USE ONLY WALK IN, PRESENTED TO PRINT NAME PLATE S, SIGNATURE OF RECIPIENT DATE, Recipient is, Registrant, Company Officer SUNBIZ, Authorized Agent POA Required, and C HSMV Rev with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

PRESENTED TO PRINT NAME PLATE S, C HSMV Rev, and YES NO inside irp application form florida

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