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 (Rev. 08/14), Application FOR Temporary License Plate, State OF Florida Department OF Highway Safety AND Motor Vehicles

Form HSMV 83091 at a glance

What it is: This is the APPLICATION FOR TEMPORARY LICENSE PLATE of the STATE OF FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES.

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

Who signs: Sign on the Signature of Applicant(s) line.

A filled-in Form HSMV 83091 example: a plate for the delay in the manufacture of a personalized license plate

Form HSMV 83091 example filled out, example: a plate for the delay in the manufacture of a personalized license plate
The picture shows page 1 only. A dealer issues a temporary license plate to Sam P. Sample while Sam's personalized license plate is being manufactured, so the box for the delay in the manufacture of a personalized license plate is the one checked. Sam applies alone, so the Co-Applicant's Driver License Number stays empty. The explanation lines stay empty because the form asks for an explanation only when the plate is issued solely for other purposes. Sam signs the Signature of Applicant(s) line by hand and the dealer's authorized agent signs by hand: the signature lines are not fillable fields in this form. Every name, date, address and number in the example is made up. Open the picture to see it full size.

How to fill out Form HSMV 83091, box by box

Tap a group of boxes to open it, and a picture to see it full size.

Applicant and co-applicant
Form HSMV 83091 example filled out, applicant and co-applicant

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

The temporary license plate
Form HSMV 83091 example filled out, the temporary license plate

Enter the Temporary License Plate Number, the Month/Day/Year the temporary license plate has been issued on, and the Month/Day/Year it is Not Valid After.

The motor vehicle
Form HSMV 83091 example filled out, the motor vehicle

For the following motor vehicle, enter the Make of Vehicle, Type, Color and Identification Number.

Issuing agency or dealer
Form HSMV 83091 example filled out, issuing agency or dealer

Enter the Name of Issuing Agency/Dealer & Dealer's License Number, If Applicable, and the Street Address of Issuing Agency/Dealer, with City, State, Zip; the AUTHORIZED ISSUING AGENCY USE ONLY part is for the agency, not for you.

The Authorized Agent for Agency/Dealer signs on the Signature of Authorized Agent for Agency/Dealer, If applicable line.

Purpose of the temporary license plate
Form HSMV 83091 example filled out, purpose of the temporary license plate

Check one: this temporary license plate will be issued solely for demonstration purposes; this temporary license plate will be used solely for the delay in the manufacture of a personalized license plate; or this temporary license plate will be issued solely for other purposes, please explain, and write on the line.

Signature of Applicant(s)

Sign on the Signature of Applicant(s) line.

More rules for Form HSMV 83091

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.

Common questions about Form HSMV 83091

Where do I file it?

Submit this form to your local tax collector office.

Is there a penalty?

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.

Sources

[1] Form HSMV 83091 (Rev. 08/14), Application FOR Temporary License Plate, State OF Florida Department OF Highway Safety AND Motor Vehicles (the Official source link on this page).

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