Hsmv Form 72068 PDF Details

The HSMV 72068 form serves a crucial purpose within the framework of maintaining the integrity and security of driver licenses and identification cards in the state. Administered by the Department of Highway Safety and Motor Vehicles, Division of Motorist Services, it is a formal document designed specifically for individuals who believe they are victims of driver license or identification card fraud. This form is not to be used for disputes regarding citations; those issues must be resolved through the court where the citation was issued. It meticulously records the complaint's details, including whether the complaint originated from the victim, law enforcement, or another source. Moreover, it inquires if any formal complaint has been lodged with any law enforcement or other governmental entity in connection to the alleged fraud. An essential feature of the HSMV 72068 form is the option for victims to have their records flagged, providing an additional layer of protection. The form also delves into the specifics of the fraud, asking if the imposter is known to the victim and if there is any familial relation. This comprehensive approach not only aids in the investigation process by the Driver License Fraud Unit but also plays a pivotal role in preventing further fraudulent activities and protecting the victim's identity. Victims are encouraged to provide as many details as possible and to submit all supporting documents to the Driver License Fraud Unit for a thorough investigation.

QuestionAnswer
Form NameHsmv Form 72068
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other nameshsmv 72068 form, imposter florida form, amazon, hsmv form 72068

Form Preview Example

DEPARTMENT OF HI GHW AY SAFETY AND MOTOR VEHI CLES

DI VI SI ON OF MOTORI ST SERVI CES

DRI VER LI CENSE/ I DENTI FI CATI ON CARD FRAUD I NVESTI GATI ON REQUEST

Th is for m is t o b e com ple t e d ON LY w h e n a v ict im is a ff e ct e d b y dr iv e r lice n se or

ide n t if ica t ion ca r d fr a u d . I f y ou r com p la in t is in r e g a r d t o a cit a t ion , y ou m u st con t a ct

t h e cou r t w h e r e t h e cit a t ion w a s issu e d t o r e solv e t h e m a t t e r .

Dat e of Com plaint : _______________________ Office Num ber: ___ _____________________

FLHSMV/ TC Repr esent at iv e’s Nam e: ________ _________________________________________

Com plaint originat ed fr om :

Vict im

Law Enforcem ent

Ot her

I f t he com plaint originat ed from Law Enforcem ent or Ot her, list t he cont act inform at ion t o include agency nam e, officer ’s nam e, and cont act infor m at ion .

_____________________________________________________________________________

_____________________________________________________________________________

Has any form al com plaint been m ade w it h any Law Enforcem ent or ot her gov ernm ent ent it y in

connect ion w it h t his com plaint ?

Yes

No

I f y es, list t he agency n am e, officer’s nam e, case num ber and cont act inform at ion .

_____________________________________________________________________________

_____________________________________________________________________________

Would t he v ict im lik e t o hav e t heir r ecord flagged?

Yes

No

V ict im / Com p la in a n t I n for m a t ion

Nam e:

Fir st

Middle

Last

Address:

Address:

Curr ent or Last Know n Mailing Addr ess t o include Count y

Last Fou r ( 4) digit s of FL DL/ I D Num ber: _____ _____ DL/ I D I ssu e Dat e: _________________

Last Fou r ( 4) digit s of OOS DL/ I D Num ber: ___ _______

Cont act Num ber: _____ _________________________

Em ail Address: ______ __________________________

HSMV 72068 ( Rev . 07/ 20)

 

Ty pe s of D L/ I D Fr a u d

 

 

 

 

 

 

 

 

Florida DL/ I D Fraud

Count erfeit

 

Addr ess Fraud

Out of St at e

 

 

 

Cert ificat e Fraud ( m ar r iage, bir t h, social secur it y , or passpor t )

 

 

 

 

Does t he v ict im k now t he im post er?

Yes

 

No

 

 

 

 

I s t he im post er r elat ed t o t he v ict im ?

Yes

 

No

 

 

 

 

 

 

 

 

 

I f y es, w hat is t he r elat ionship?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Possible I m post e r ’s I n for m a t ion

 

 

 

 

 

 

 

Nam e:

 

 

 

 

 

 

 

 

 

 

Fir st

 

 

Middle

Last

 

 

Address:

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

Curr ent or Last Know n Mailing Addr ess t o include Count y

 

 

 

Last Fou r ( 4) digit s of FL DL/ I D Num ber: _____ _____

 

 

 

Last Fou r ( 4) digit s of OOS DL/ I D Num ber: ___ _______

 

 

 

 

 

 

 

 

 

 

 

Nam e:

 

 

 

 

 

 

 

 

 

 

Fir st

 

 

Middle

Last

 

 

Address:

Address:

Curr ent or Last Know n Mailing Addr ess t o include Count y

Last Fou r ( 4) digit s of FL DL/ I D Num ber: _____ _____

Last Four ( 4) digit s of OOS DL/ I D Num ber: __________

Com pla in t :( Please giv e as m any det ails as possible)

V ict im / Com pla in a n t ’s Sign a t u r e

Mail, Fax , or em ail t h e com plet ed for m an d ALL suppor t ing docum ent s t o:

Driver License Fr au d Unit , 2900 Apalachee Par k w ay , Room A327, MS 84, Tallahassee, FL 32399

Phone: 850 - 617 - 2405; FAX: 850 - 617 - 3945

Em ail: fr a u d@flh sm v . gov

HSMV 72068 ( Rev . 07/ 20)

D iv ision of M ot or ist Se r vice s

Bu r e a u of M ot or ist Se r vice s Su p p or t

D r iv e r Lice n se Fr a u d U n it

HSMV 72068 ( Rev . 07/ 20)

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For you to complete this form, ensure that you provide the information you need in each and every field:

1. First of all, when filling out the form hsmv 72068, beging with the form section containing subsequent blank fields:

Filling in part 1 of hsmv form 72068

2. Once your current task is complete, take the next step – fill out all of these fields - Would t he vict im lik e t o have, Yes, Vict im Com p la in a n t I n for, Fir st, Middle, Last, Nam e, Address, Address, Curr ent or Last Know n Mailing, Last Four digit s of FL DL I D, Last Four digit s of OOS DL I D, Cont act Num ber, and Em ail Address with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

Fir st, Last Four   digit s of FL DL I D, and Curr ent or Last Know n Mailing in hsmv form 72068

You can easily make an error when filling out your Fir st, therefore ensure that you take another look prior to deciding to submit it.

3. This third segment should be quite easy, Type s of D L I D Fr a u d, Florida DL I D Fraud, Count erfeit, Addr ess Fraud, Out of St at e, Cert ificat e Fraud m ar r iage, Does t he vict im know t he im, Yes, I s t he im post er r elat ed t o, Yes, I f y es w hat is t he r elat, Possible I m post e r s I n for m, Fir st, Middle, and Last - every one of these blanks will need to be filled in here.

Stage # 3 of completing hsmv form 72068

4. All set to start working on this next section! In this case you will get all of these Fir st, Middle, Last, Address, Address, Curr ent or Last Know n Mailing, Last Four digit s of FL DL I D, Last Four digit s of OOS DL I D, and Com pla in t Please give as m any form blanks to fill out.

The way to fill in hsmv form 72068 stage 4

5. When you near the finalization of the file, you'll find several extra requirements that have to be fulfilled. In particular, Vict im Com pla in a n t s Sign a, Mail Fax or em ail t he com plet, Driver License Fr aud Unit, Phone FAX, Em ail fr a udflh sm vgov, and HSMV Rev must be filled out.

Completing part 5 in hsmv form 72068

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