Hsmv 90511 Form – Fill Out and Use This PDF

Under Requester's Information, enter the Name of Requester, the Date of Request and the Reference # (Case/File Name).

Enter the Mailing Address, Email Address, City, State, Zip and Fax Number. To receive personal information, provide the appropriate exemption number(s) from the list on the back of this form. If you request your own personal information, see the note under Signature of Requester or Contact Person.

Sign on the Signature of Requester or Contact Person line and enter the Telephone Number. When you are requesting your own personal information (the * note by Mailing Address), you must sign this request.

Under penalty of perjury, you affirm that you are entitled to receive this information and understand that you may not redisclose this information, except as provided in section 119.0712(2), Florida Statutes and the Driver's Privacy Protection Act of 1994, 18 U.S.C. ss. 2721 et seq.

Under Request for A Driver History Record/Transcript, enter the First, Middle and Last, the Date of Birth, and the Address on Record with City, State and Zip. Attach a separate sheet for additional requests.

Enter the Driver License or Identification Number.

A 3-year driver history is $8.00, a 7-year driver history is $10.00 and a complete driver history is $10.00 (checked November 8, 2026).

A certified 3-year, 7-year or complete driver history is just $10.00 (checked November 8, 2026); please circle 3-year, 7-year or complete.

Under Other Types of Requests And Fees, mark DL/ID Application, Last known address or Other, and specify it in the box. If you are requesting something other than a driver history record, there is a $2.00 search fee per request and a document fee of $0.50 each item/document requested or $1.00 for each certified document/item requested (checked November 8, 2026).

Division of Motorist Services, 2900 Apalachee Parkway, Room B239, Mail Stop 52, Neil Kirkman Building, Tallahassee, FL 32399.