HSMV 83091 PDF Details

This temporary license plate will be issued solely for demonstration purposes, used solely for the delay in the manufacture of a personalized license plate, or issued solely for other purposes.

Original: the original (accurately completed) of this form must be given to the APPLICANT.

Permit: must be carried in his/her possession at all times while the vehicle is being operated with the temporary license plate (until expiration).

Destroy it: the temporary license plate must be destroyed when either the regular license plate is received by the applicant or the temporary license plate expires.

Copy: a copy of this form must be retained by the authorized issuing agency for at least one (1) year.

QuestionAnswer
Form Name HSMV 83091
Form Length 1 page
Fillable? Yes
Fillable fields 24
Avg. time to fill out 4 min
Other names HSMV 83091, HSMV83091, 83091, Form HSMV 83091, Application for Temporary License Plate
Edition08/14
Issuing agencyFlorida Department of Highway Safety and Motor Vehicles
Where to fileYour local tax collector office
Official sourceHSMV 83091 (Rev 08/14), Florida Department of Highway Safety and Motor Vehicles

How to Fill Out Form HSMV 83091

Form HSMV 83091 at a glance

What it is: The Application for Temporary License Plate is a State of Florida Department of Highway Safety and Motor Vehicles form.

Where and when to file: Submit this form to your local tax collector office.

A filled-in Form HSMV 83091 example: a dealer issues a plate for demonstration

Form HSMV 83091 example filled out, example: a dealer issues a plate for demonstration
Jane Ann Sample fills in the Application for Temporary License Plate. She is the only applicant, and a dealer issues the plate for demonstration purposes only. The picture shows page 1, and every value in it is made up. The Co-Applicant's Driver License Number is left blank because she is the only applicant. Nothing goes in the explain lines under Authorized issuing agency use only because the demonstration box is the one ticked.

How to fill out Form HSMV 83091, box by box

Temporary license plate number, names, address and driver license numbers

Form HSMV 83091 example filled out, temporary license plate number, names, address and driver license numbers

Enter the Temporary License Plate Number.

Enter the Name(s) (Applicant/Co-Applicant), the Street Address (Post Office Box/Drawer, If Applicable), and the City, State and Zip.

Enter the Applicant's Driver License Number and the Co-Applicant's Driver License Number.

Month/Day/Year and the following motor vehicle

Form HSMV 83091 example filled out, month/Day/Year and the following motor vehicle

Enter the Month/Day/Year after ON and the Month/Day/Year after NOT VALID AFTER.

Enter the Make of Vehicle, Type, Color and Identification Number.

Issuing agency or dealer

Form HSMV 83091 example filled out, issuing agency or dealer

After BY:, enter the Name of Issuing Agency/Dealer & Dealer's License Number, If Applicable, the Street Address of Issuing Agency/Dealer, and the City, State and Zip (AUTHORIZED ISSUING AGENCY USE ONLY).

The Signature of Authorized Agent for Agency/Dealer is for an authorized agent, If applicable.

Authorized issuing agency use only

Form HSMV 83091 example filled out, authorized issuing agency use only

Under AUTHORIZED ISSUING AGENCY USE ONLY, mark the box for the temporary license plate issued solely for demonstration purposes, used solely for the delay in the manufacture of a personalized license plate, or issued solely for other purposes, please explain.

Signature of Applicant(s)

Sign on the Signature of Applicant(s) line.

The original, the temporary license plate and the copy of this form

The original (accurately completed) of this form must be given to the APPLICANT. This form is issued to the applicant as a temporary permit and must be carried in his/her possession at all times while the vehicle is being operated with the temporary license plate (until expiration). THE TEMPORARY LICENSE PLATE MUST BE DESTROYED WHEN: 1. The regular license plate is received by the applicant. 2. The temporary license plate expires. A copy of this form must be retained by the authorized issuing agency for a least one (1) year. WARNING: Any person unlawfully using any such temporary license plate or violating any rule or regulation issued by the Division of Motorist Services pursuant to this act shall be guilty of a misdemeanor of the second degree.

Common questions about Form HSMV 83091

Where do I file it?

Submit this form to your local tax collector office. For current mailing addresses, check your local phone book government pages or visit www.flhsmv.gov/offices/.

Sources

[1] Form HSMV 83091 (Rev. 08/14), Florida Department of Highway Safety and Motor Vehicles (the Official source link on this page).

Please rate Hsmv 83091 Form Rev. 08-14

1 Votes
If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .