Please rate Hsmv 72034 Form 4-2026
Please mail your application to the office nearest to your residence.
Answers: please answer all the below questions.
Items 1 and 2: have you ever been issued a driver license in any other state? Have you ever been convicted of any alcohol related offense in any other state?
Also submit: a copy of your Florida DUI Uniform Traffic Citation and proof of enrollment in DUI School.
DUI School: if the school is not completed within 90 days of enrollment, your restricted license will be cancelled.
| Question | Answer |
|---|---|
| Form Name | HSMV 72034 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 24 |
| Avg. time to fill out | 4 min |
| Edition | 4/2026 |
| Issuing agency | Florida Department of Highway Safety and Motor Vehicles, Bureau of Administrative Reviews |
| Where to send | The office nearest to your residence |
| Other names | HSMV 72034, HSMV72034, HSMV-72034, Form HSMV 72034, Florida HSMV 72034, Request for Eligibility Review |
| Official source | HSMV 72034 (Rev 4/2026), Florida Department of Highway Safety and Motor Vehicles |
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Please rate Hsmv 72034 Form 4-2026
