Hsmv 83091 Pdf Details

Hsmv 83091 form is a request for a driver's license inspection sticker. The Florida Department of Highway Safety and Motor Vehicles (DHSMV) requires all Florida drivers to have an inspection sticker on their driver's license. This form is used to request an inspection sticker, submit payment, and schedule your appointment. If you need more information or have questions about the Hsmv 83091 form, please visit the DHSMV website.

You'll find it beneficial to understand how much time you will need to prepare this hsmv 83091 form and how lengthy the document is.

QuestionAnswer
Form NameHsmv 83091 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameshsmv 83091, unlawfully, 83091, gov

Form Preview Example

STATE OF FLORIDA

DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES

DIVISION OF MOTORIST SERVICES

SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE

www.flhsmv.gov/offices/

APPLICATION FOR TEMPORARY LICENSE PLATE

TEMPORARY LICENSE PLATE NUMBER: ________________________________________

THIS IS TO CERTIFY THAT ___________________________________________________

Name(s) (Applicant/Co-Applicant)

______________________________________________________________________________

Street Address (Post Office Box/Drawer, If Applicable)

______________________________________________________________________________

CityStateZip

Applicant’s Driver License NumberCo-Applicant’s Driver License Number

HAS MADE APPLICATION FOR AND HAS BEEN ISSUED A TEMPORARY LICENSE PLATE ON _____________________ NOT VALID AFTER __________________________

Month/Day/Year

Month/Day/Year

FOR THE FOLLOWING MOTOR VEHICLE:

 

__________________ ________ _____________ ____________________________________

Make of Vehicle Type ColorIdentification Number

BY: __________________________________________________________________________

Name of Issuing Agency/Dealer & Dealer’s License Number, If Applicable

______________________________________________________________________________

Street Address of Issuing Agency/Dealer

_____________________________________________________________________________________________________________________

 

City

State

Zip

 

 

AUTHORIZED ISSUING AGENCY USE ONLY

 

 

 

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.

 

 

 

 

This temporary license plate will be issued solely for other purposes, please explain:

______________________________________________________________________________

______________________________________________________________________________

Signature of Applicant(s): ______________________________________________________

INSTRUCTIONS

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 Motor Vehicles pursuant to this act shall be guilty of a misdemeanor of the second degree.

Check your local phone book government pages or visit the following website for current mailing addresses: http://www.flhsmv.gov/offices/

HSMV 83091 (Rev. 10/11)

www.flhsmv.gov

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