Form HSMV83091 "Application for Temporary License Plate" - Florida

This "Form Hsmv83091 "application for Temporary License Plate" - Florida" is a document issued by the Florida Department of Highway Safety and Motor Vehicles specifically for Florida residents with its latest version released on August 1, 2014.

Download the up-to-date fillable PDF by clicking the link below or find it on the forms website of the Florida Department of Highway Safety and Motor Vehicles.

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Download Form HSMV83091 "Application for Temporary License Plate" - Florida

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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)
City
State
Zip
Applicant’s Driver License Number
Co-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
Color
Identification Number
BY:
Name of Issuing Agency/Dealer & Dealer’s License Number, If Applicable
Signature of Authorized Agent for Agency/Dealer, 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 Motorist Services 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. 08/14)
www.flhsmv.gov
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)
City
State
Zip
Applicant’s Driver License Number
Co-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
Color
Identification Number
BY:
Name of Issuing Agency/Dealer & Dealer’s License Number, If Applicable
Signature of Authorized Agent for Agency/Dealer, 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 Motorist Services 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. 08/14)
www.flhsmv.gov
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