How to Fill Out Form HSMV 72077

Form HSMV 72077 at a glance

What it is: HSMV 72077 is the Release from Incarceration form of the Florida Department of Highway Safety and Motor Vehicles.

Who signs: The Person Signing Release signs on the Signature of Person Signing Release line under SIGN.

Where and when to file: Submit this form to your local tax collector office or driver license service center, listed at http://www.flhsmv.gov/offices/.

A filled-in Form HSMV 72077 example: a release signed by a jail records clerk

Form HSMV 72077 example filled out, example: a release signed by a jail records clerk
Jane Ann Sample files the Release from Incarceration form. She was convicted on 01/06/2026, jailed on 01/07/2026 and released on 03/02/2026, and the jail's clerk signs. The picture shows page 1, and all its values are invented. Her incarceration date is on or after her conviction date. Her release date is on or after both. Nothing goes in For FLHSMV Use Only because FLHSMV completes it.

How to fill out Form HSMV 72077, box by box

Name, Street Address, Sex, Date of Birth and Driver License Number

Form HSMV 72077 example filled out, name, Street Address, Sex, Date of Birth and Driver License Number

Enter the Name, Street Address, Sex, Date of Birth and Driver License Number.

Violation/Offense, Conviction Date, Incarceration Date and Release Date

Form HSMV 72077 example filled out, violation/Offense, Conviction Date, Incarceration Date and Release Date

Enter the Violation/Offense, the Violation/Offense Date and the Conviction Date.

The Incarceration Date must be on or after the conviction date.

The Release Date must be on or after the conviction date or incarceration date and/or credit for time served.

Agency and Address of Agency

Form HSMV 72077 example filled out, agency and Address of Agency

Enter the Agency and the Address of Agency.

Person Signing Release

Form HSMV 72077 example filled out, person Signing Release

Enter the Name and Title of Person Signing Release.

The Person Signing Release signs on the Signature of Person Signing Release line under SIGN.

Enter the Telephone Number of Person Signing Release.

Person in Charge of Correctional Facility

Form HSMV 72077 example filled out, person in Charge of Correctional Facility

Enter the Name of Person in Charge of Correctional Facility and the Telephone Number of Person in Charge of Facility.

For FLHSMV Use Only

Form HSMV 72077 example filled out, for FLHSMV Use Only

For FLHSMV Use Only: Date Mailed or Faxed to FLHSMV, Examiner's Name and Office Number.

More rules for Form HSMV 72077

For FLHSMV Use Only, the form prints Florida Department of Highway Safety and Motor Vehicles, Neil Kirkman Building, Room A325, Mail Stop 87, 2900 Apalachee Parkway, Tallahassee, Florida 32399-0580, Fax Number (850) 617-3939.

Common questions about Form HSMV 72077

Where do I file it?

Submit this form to your local tax collector office or driver license service center, listed at http://www.flhsmv.gov/offices/.

Sources

[1] Form HSMV 72077 (Rev. 06.2023), Release from Incarceration, Florida Department of Highway Safety and Motor Vehicles (the Official source link on this page).

Form HSMV 72077 PDF Details

Name, street address, sex, date of birth, driver license number, violation/offense, violation/offense date and conviction date.

Incarceration date: must be on or after conviction date.

Release date: must be on or after conviction date or incarceration date and/or credit for time served.

Who signs: name and title, signature and telephone number of person signing release.

Correctional facility: name of person in charge of correctional facility and telephone number of person in charge of facility.

QuestionAnswer
Form NameForm HSMV 72077
Form Length1 page
Fillable?Yes
Fillable fields20
Avg. time to fill out4 min
Edition06.2023
Issuing agencyFlorida Department of Highway Safety and Motor Vehicles
Where to fileYour local tax collector office or driver license service center
Who signsThe person signing release
Other namesHSMV 72077, HSMV72077, HSMV-72077, 72077, Release from Incarceration
Official sourceForm HSMV 72077 (Rev 06.2023), Florida Department of Highway Safety and Motor Vehicles