Reassignment Form Florida

Below are common forms required for transactions with the Florida Department of Highway Safety and Motor Vehicles (DHSMV). You can download them free of charge if you have Adobe Acrobat Reader, and if you don't have that, it's also available as a free download.

If you do not see a form listed below, or if a form is listed as "Not available online," you must get it directly from the FL DHSMV. You can:

  • Contact the FL DHSMV by phone at: (850) 617-2000.
  • Go in person to your local DHSMV office.

Most Requested Forms

Application for a Social Security Card - SS-5

Application for an original, replacement, OR corrected Social Security card.

Certification of Address - HSMV 71120

Use this form to certify your Florida residency when submitting certain applications to the DHSMV.

Certification of Driving Experience of a Minor - HSMV 71143

For a parent or other legal guardian to certify a minor in their care has completed the required amount of practice driving hours to apply for a Florida license.

Insurance Affidavit - HSMV 83330

Use this form to certify you have the required car insurance to register your vehicle with the Florida DHSMV.

Parental Consent for a Driver Application of a Minor - HSMV 71142

This form must be signed by a parent or guardian when a minor applies for a Florida driver's license.

Request For Arbitration by the Florida New Motor Vehicle Arbitration Board - DLA/LL-005

Submit this form to the Florida Department of Legal Affairs if you're seeking retribution for a faulty vehicle under FL Lemon Law.

Separate Odometer Disclosure Statement and Acknowledgement - HSMV 82993

Form used to disclose the odometer reading on a vehicle you're buying or selling in Florida. Needs to be submitted to the DHSMV when transferring ownership of a vehicle.

Use this form to title your vehicle with the FL Department of Highway Safety and Motor Vehicles. - HSMV 82040

Complete this form to title a vehicle in your name.

Voter Registration Application - DS-DE 39

Submit this form to your local election office to register to vote in FL.

Driver's License & ID Forms

Driver License Records Request - HSMV 90511

Use this form to request a copy of your FL driving record or someone else's for purposes allowed by law

Fraud Investigation Requests - HSMV 72068

Submit this form to the Florida Department of Highway Safety and Motor Vehicles if you're a victim of fraud or identity theft involving your driver's license or ID.

Mature Driver Vision Test - HSMV 72119

Submit this form if you're a mature driver and require an eye exam as part of renewing your Florida driver's license. Must be completed by an eye doctor.

Report of Eye Exam - HSMV 72010

Required if you fail your vision test when applying for OR renewing a Florida driver's license or permit. Must be completed by an eye doctor.

Title & Registration Forms

Application for High Occupancy Vehicle (HOV) Decal - HSMV 83027

Apply for an HOV decal for your low-emission or hybrid vehicle.

Application for Personalized License Plate - HSMV 83043

Application for a personalized FL license plate.

Application for Registration of a Street Rod, Custom Vehicle, Horseless Carriage or Antique (Permanent) - HSMV 83045

Application to permanently register an antique OR custom vehicle with the Department of Highway Safety and Motor Vehicles.

Application for Replacement License Plate, Validation Decal or Parking Permit - HSMV 83146

Submit this form to the DHSMV to request a replacement Florida license plate, validation decal, OR disability parking permit.

Application for Salvage Title/Certificate of Desctruction - HSMV 82363

Use this form to apply for a salvage title OR certificate of destruction on a vehicle in Florida.

Application for Vessel Duplicate Registration, Replacement Decal and Change of Classification - HSMV 87015

Request a replacement boat registration or decal for a boat OR to change a boat's registration classification with the DHSMV.

Insurance Affidavit - HSMV 83330

Use this form to certify you have the required car insurance to register your vehicle with the Florida DHSMV.

Lien Satisfaction - HSMV 82260

Complete this form to notify the DHSMV you've paid off the loan on a liened vehicle in FL.

Use this form to title your vehicle with the FL Department of Highway Safety and Motor Vehicles. - HSMV 82040

Complete this form to title a vehicle in your name.

Vehicle Identification Number and Odometer Verification - HSMV 82042

VIN verification required when titling OR registering an out-of-state vehicle with the FL Department of Highway Safety and Motor Vehicles. Must be completed by an authorized agent of the state.

Buying & Selling Forms

Motor Vehicle Power of Attorney/Odometer Disclosure - HSMV 82995

Use this form to disclose a vehicle's odometer reading on behalf of a seller. Not available online. Contact the DMV for this form.

Contact your local DHSMV

Power of Attorney for a Motor Vehicle, Mobile Home, or Vessel - HSMV 82053

Use this form to allow someone else to perform a title transaction on your behalf with the DHSMV. Applies to motor vehicles, motor homes, AND vessels titled in Florida.

Commercial Forms

Medical Examination Report for Commercial Driver Fitness Determination - 649-F

Submit this fitness determination form to the DHSMV as part of applying for your Florida CDL. Must be completed by a medical examiner.

Military Forms

Application for Military Service Related License Plates - HSMV 83034

Application for FL military service license plates.

Initial Registration Fee Exemption Affidavit - HSMV 82002

Form for military members, spouses, or their dependents to request a registration fee exemption from the FL Department of Highway Safety and Motor Vehicles.

Military Personnel and Dependents Affidavit and Driver License Extension Application - HSMV 73032

Form for military members, spouses, and dependents to request an extension on driver's license renewal from the FL DHSMV.

Verification for Waiver of Skill Test for Military Personnel - HSMV 71054

FL commercial driver's license skills test waiver for members of the military who recently drove a commercial vehicle during service. Requires certification from your commanding officer.

Disability Forms

Application for Disabled Person Parking Permit - HSMV 83039

Use this form to apply for a Florida disability parking permit (not permanent).

Voter Registration Forms

Voter Registration and Absentee Ballot Request Federal Post Card Application - 76

If you're a U.S. citizen living out of your voting jurisdiction, use this form to register to vote AND/OR request an absentee ballot.

Dealer Forms

Application for Notice of Lien/Reassignment of Lien or Notice to First Lienholder of Subsequent Lien - HSMV 82139

Used by vehicle dealers to update lien information for county tax offices.

Irrevocable Letter of Credit Mobile Home Dealer - HSMV 86058

Form signed by the bank that holds the surety bond for a mobile home dealer. One way to meet the bond requirement for dealer licensing.

Irrevocable Letter of Credit Motor Vehicle Dealer - HSMV 86057

Form signed by the bank holding the surety bond for a motor vehicle dealer. One option to fulfill the bond requirement for dealer licensing.

Motor Vehicle Title Reassignment Supplement - HSMV 82994

This form is used when reassigning ownership of a vehicle with a non-conforming or unavailable title or MCO. Not available online.

Contact your local DHSMV

Renewal Application - HSMV 86720

Use this form to renew your dealer license or change your dealer mailing address.

Surety Bond Mobile Home Dealer - HSMV 86018

Bond form required for mobile home dealer licensing.

Surety Bond Motor Vehicle Dealer - HSMV 86020

Required bond paperwork for vehicle dealer licensing.

Surety Bond Recreational Vehicle Dealer - HSMV 86019

Required bond form for RV dealer licensing.

Temporary Tag Record - HSMV 84016

Used by vehicle dealers to keep track of temporary tags issued.

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Sorted by Form Number

Most of the following files are in PDF format and require the Adobe Acrobat Reader, which is available from Adobe at no charge.

(Forms marked with an * may be filled out online and then printed.)

  • 71054: Certification for Waiver of Skill Test for Military Personnel
  • 71120: Certification of Address
    • 71120SP: Certificación de Dirrección
  • 71142: Parent Consent Form (Under 18 – Learner’s License)
    • 71142SP: Formulario A de Consentimiento Paterno (Bajo 18 años – Licencia de Aprendiz)
  • 71143: Parent Consent Form (Under 18 – Driving Test)
    • 71143SP: Formulario B de Consentimiento Paterno (Bajo 18 años – Examen Práctico)
  • 71144: Parent Proctoring Form
    • 71144SP: Supervisión del Padre de la Prueba en Línea del CARNET de Conducir de un Menor de Edad
  • 72010: Report of Eye Exam
  • 72034: Request for Eligibility Review
  • 72068: Identity Theft/Driver License Fraud Report Form
  • 72077: Release From Incarceration Form
  • 72119: Report of Eye Exam
  • 72120: Application for Identification Card with Developmental Disability Designation
  • 72190: Report a Driver Whose Ability is Questionable
    • 72190SP: Denuncie a un Conductor Cuya Habilidad es Cuestionable
  • 72835SP: Notificación a Estudiante sobre Elegibilidad para Conducir para Licenciarse
  • 72836: Notificación a Estudiante para Programa de Educación en el Hogar
  • 72838: Informe sobre Examen de la Vista
  • 72862: Worthless Check Clearance
    • 72862SP: Compensación o Pago de Cheques Sin Fondos
  • 72870: Student Notification for Driving Eligibility for Licensure
  • 72871: Student Notification for Home Education Program
  • 73209: Criminal Justice Information Request form
  • 73644: Driver License Refund Request
    • 73644SP: Solicitud de Reembolso en Cartera de Conducir
  • 74007: Security Deposit Refund Request
  • 74010: Court Authority to Reinstate (Failure to meet financial obligations suspension)
  • 74014: Release in Full of All Claims – Instruction Sheet
    • 74014SP: Formulario para la Exoneración de Daños a la Propiedad/Lesiones
  • 74034: Judgment Consent Form
    • 74034SP: Formulario de Consentimiento de la Demanda
  • 74036: Agreement for Release and Monthly Repayment Note – Instruction Sheet
  • 74038: Satisfaction of Judgment
    • 74038SP: Formulario Para la Satisfaccion de la Demanda
  • 74039: Authorization to Pay Security
  • 75710: Red Light Camera
  • 77058: RiderCoach Apprentice Program Application (RCAP)
  • 77067: Application For Authority to Conduct Third Party Driver License Testing
  • 77071S: Vehicle Registration Application for Commercial Driving School
  • 77078: RiderCoach Intern Form
  • 77079: RiderCoach Mentor Form
  • 77122: RiderCoach Personal Information & Qualifications
  • 78015: Worthless Check Hardship Hearing Form
  • 78065: Application for Formal or Informal review of Driver License
  • 78306: Application for Hardship or Administrative Hearing

  • 80122: Application for Suspected or Reported Title and Registration Fraud *
  • 81027: Assignment of Judgment *
  • 81032: Application for Florida Certification of Mobile/Manufactured Home Installation Component or Product*
  • 81095: MH/RV Complaint Registration Form*
  • 81401: Manufactured/Mobile Home Installer License Application*
  • 81402: Installer Performance Bond*
  • 81404: Mobile Home Installation Decal Order Form*
  • 81406: Application/Affidavit for Duplicate Mobile Home Installer License*
  • 81407: Affidavit for Replacement of Lost Mobile Home Installer Decals *

  • 81409: Mobile Home Dealer Installer License Application*
  • 82002: Initial Registration Fee Exemption Affidavit*
  • 82012: Application for Certificate of Destruction*
  • 82013: Certificate of Destruction (Sample only — do not fill out)
  • 82026: Application For Bonded Title Affidavit*
  • 82033: Title Surety Bond for a Motor Vehicle*
  • 82039: Application for Multiple Certificate of Titles With/Without Registration *
  • 82040: Application for Certificate of Title With/Without Registration *
  • 82042: Vehicle Identification Number and Odometer Verification*
  • 82048: Vehicle Identification Number and Repossession Notice to Subsequent Lienholder*
  • 82050: Notice of Sale and/or Bill of Sale for a Motor Vehicle, Mobile Home, Off-Highway Vehicle or Vessel*
  • 82052: Electronic Signature Agreement
  • 82053: Power of Attorney*
  • 82054: Application for Original or Replacement Title Validation Sticker for an Off Highway Vehicle*
  • 82078: Notification of Dispute of Registration Fees Paid to a Dealer for a Motor Vehicle*
  • 82082: Off-line Issuance of a Pre-printed Temporary License Plate*
  • 82083: Application to Become an Authorized EFS Agent/Change of Certified Service Provider *
  • 82084: Dealer Plates for Heavy Trucks for Demonstration Purposes*
  • 82089: Insurance Company Motor Vehicle Release Statement*
  • 82091: Reassignment Supplement to a Certificate of Title*
  • 82092: Reassignment Document for an Electronic Certificate of Title*
  • 82100: Affidavit for Change/Alteration of Body*
  • 82101: Application for Duplicate or Lost in Transit/Reassignment Title for a Motor Vehicle, Mobile Home or Vessel Title Certificate*
  • 82103: Affidavit for Change of Motor (MV manufactured prior to 1955)*
  • 82105: Certified Official Weight Affidavit
  • 82109: Application for Retirement of a Mobile Home Certificate of Title
  • 82137: Application for Derelict Motor Vehicle Certificate and Request to Cancel Title *
  • 82139: Application for Notice of Lien/Reassignment of Lien or Notice to First Lienholder of Subsequent Lien*
  • 82150: Application and Notice of Interest – Electronic Lien and Title Process*
  • 82152: Application for Surviving Spouse Transfer of Title
  • 82175: Dealer Non-Delivery Affidavit*
  • 82192: Notice to Surrender Motor Vehicle/Vessel*
  • 82260: Lien Satisfaction*
  • 82363: Application for Salvage Title/Certificate of Destruction*
  • 82498: Application for Notification of Dispute on a Wrecker Operator’s Lien for a Motor Vehicle, Mobile Home or Vessel*
  • 82993: Application for Separate Odometer Disclosure Statement and Acknowledgment*
  • 82994: Application for Motor Vehicle Dealer Title Reassignment Supplement (Sample only — do not fill out)
  • 82995: Application for Motor Vehicle Power of Attorney/Odometer Disclosure (Sample only — do not fill out)
  • 82996: Application for Motor Vehicle Dealer/Auto Auction or Customer Odometer Affidavit*

  • 83000: Sample License Plate Request Form*
  • 83007: Application for Regular and Motorcycle International Wheelchair Symbol License Plate*
  • 83016: Tax Collectors Mailing List
  • 83020: Application for Front End License Plates*
  • 83027: Application for HOV Decal*
  • 83030: Application for U.S. Reserve or Florida National Guard License Plate*
  • 83034: Application for Ex-Prisoner of War, Purple Heart, Medal of Honor, Pearl Harbor Survivor, US Paratrooper, Operation Iraqi Freedom, Operation Enduring Freedom, Gold Star, Veteran of the United States Armed Forces, Combat Infantry Badge, Combat Action Badge, Combat Medical Badge, Vietnam War Veteran, Korean War Veteran, Silver Star, Distinguished Service Cross, Navy Cross, Air Force Cross, Operation Desert Shield Veteran, Operation Desert Storm Veteran, Combat Action Ribbon, Distinguished Flying Cross, Woman Veteran, Air Force Combat Action Medal, Navy Submariner, World War II Veteran *
  • 83036: Notice of Reassignment of Permanent Florida Governmental Agency License Plate*
  • 83039: Disabled Parking Placard*
  • 83041: Application for Amateur Radio License Plate*
  • 83043: Personalized License Plate*
  • 83045: Application for Registration of a Street Rod, Custom Vehicle, Horseless Carriage or Antique (Permanent)*
  • 83060: Registration of Vehicle with Out-Of-State Lien*
  • 83065: Application for Transporter License Plate*
  • 83080: Eligibility Affidavit for Motor Vehicle Registration*
  • 83081: Application for a Press (PRES) License Plate*
  • 83088: Temporary 90 Day Employment (Sample only — do not fill out)
  • 83090: Application by Florida Motor Vehicle Mobile Home or Recreational Vehicle Dealer for Temporary Plates *
  • 83091: Application for Temporary License Plate*
  • 83101: Missing License Plate, Decal or Placard Affidavit*
  • 83109: Application for Legislative License Plate*
  • 83110: Application for Registration of a Motor Vehicle for Agricultural (Restricted), Horticultural (Restricted), or “Goat” License Plate*
  • 83140: License Plate Rate Chart*
  • 83146: Application for Replacement license plate, validation decal or parking permit*
  • 83330: Florida Insurance Affidavit*
  • 83363: Application for License Plate or Decal Refund*
  • 83390: Application for Sunscreening Medical Exemption*
  • 83416: Request for Division of Motor Vehicle/Vessel Forms*

  • 84003: Receipt and Certificate of Disposal for Obsolete License Plates*
  • 84016: Temporary Tag Record*
  • 84019: Application and Claim To Recover Compensation from the Mobile Home and Recreational Vehicle Trust Fund*
  • 84026: Assignment of Claim/Suit*
  • 84045: Registration of Mobile Home Dealer’s Salesperson(s)*
  • 84050: Application for Dealer License Reprint*
  • 84058: Vehicle Air Pollution Control Statement*
  • 84061: Declaration Affidavit for A Motor Vehicle Which Will Be Titled and Registered in Another State or Country
  • 84200: Application for A Temporary “Supplemental” License for An Off-Premises Sale by A Motor Vehicle, Mobile Home or Recreational Vehicle Dealer
  • 84256: Application for A License as A Motor Vehicle or Recreational Vehicle Manufacturer, Importer, Or Distributor or A Mobile Home Manufacturer
  • 84490: Statement of Builder
  • 84491: Statement of Builder, Additional Sheet
  • 84901: Division of Motorist Services Complaint Affidavit
  • 85008: IFTA Application & Decal Order
  • 85017: Record Keeping Agreement (with suggested templates)
  • 85041: Change of Address
  • 85083: Motor Carrier Services E-File Request Form
  • 85100: Application to Replace an Apportioned License Plate and/or CAB Card
  • 85103: Welcome to the International Registration Plan
  • 85800: How to Calculate the International Fuel Tax Agreement Quarterly Tax Return
  • 85900: International Registration Plan, Florida Application
  • 85901: IRP Application Instruction Book
  • 85921: International Fuel Tax Agreement, Florida Tax Return

  • 86018: Surety Bond, Mobile Home Dealer*
  • 86019: Surety Bond, Recreational Vehicle Dealer*
  • 86020: Surety Bond, Motor Vehicle Dealer*
  • 86050: Surety Bond, Mobile Home Manufacturer*
  • 86051: Surety Bond, Recreational Vehicle Manufacturer or Van Converter*
  • 86056: Application for License as a Motor Vehicle, Mobile Home, or Recreational Vehicle Dealer*
  • 86057: Florida Motor Vehicle Dealer Irrevocable Letter of Credit*
  • 86058: Florida Mobile Home Dealer Irrevocable Letter of Credit*
  • 86059: Florida Mobile Home Manufacturer Irrevocable Letter of Credit *
  • 86060: Statement of Intent to Relinquish a Dealer License*
  • 86064: Affidavit for Golf Cart Modified to a Low Speed Vehicle*
  • 86066: Affidavit for a Low Speed Vehicle Converted to a Golf Cart*
  • 86072: Modification to Dealer License for Licensed Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers*
  • 86218: Renewal Application: Mobile Home Manufacturer or Recreational Vehicle Manufacturer, Importer, or Distributor
  • 86219: Renewal Application: Motor Vehicle Manufacturer, Importer, or Distributor
  • 86720: Renewal Application Motor Vehicle, Mobile Home, or Recreational Vehicle Dealers*

  • 87002: Vessel Statement of Builder*
  • 87008: Affidavit for Transfer/Sale on a Repossessed Vessel in Default of Contract*
  • 87015: Application for Vessel Duplicate Registration, Replacement Decal and Change of Classification*
  • 87017: Affidavit to Correct Vessel Length Documentation*
  • 87183: Certification of Vessel Hull Identification Number*
  • 87231: Application for ‘GOVERNMENTAL’ Vessel Registration Number*
  • 87243: Antique Vessel Certification*
  • 87244: Application to Register Non-Titled Vessels*
  • 87307: Application for ‘Confidential’ Registration*

  • 90011S: Accident Self Report — Online or Form
  • 90510: Request for Motor Vehicle/Vessel and Mobile Home Records Request form*
  • 90511: Request for Driver License Records Request form

  • 92786: FRTP Quality Assurance Audit Form
  • 94250: Consumer Appeal Form
  • 96020: Public Official, Law Enforcement Agency Personnel and Others (Section 119.071 FS) – Request to Withhold Personal Information Form
  • 96440: MCS Power of Attorney*

 

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