Form HSMV85900 "Florida Application - International Registration Plan" - Florida

What Is Form HSMV85900?

This is a legal form that was released by the Florida Department of Highway Safety and Motor Vehicles - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2017;
  • The latest edition provided by the Florida Department of Highway Safety and Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form HSMV85900 by clicking the link below or browse more documents and templates provided by the Florida Department of Highway Safety and Motor Vehicles.

ADVERTISEMENT
ADVERTISEMENT

Download Form HSMV85900 "Florida Application - International Registration Plan" - Florida

947 times
Rate (4.5 / 5) 65 votes
APPLICANT INFORMATION ONLY
PLEASE TYPE OR PRINT WITH INK
REGISTRATION YEAR:
FULL NAME:
CHECK  ONE:
FLORIDA PHYSICAL ADDRESS:
INTERNATIONAL REGISTRATION
 (Select one choice):
TYPE OF OPERATION
APT/UNIT #
BUSINESS
DO NOT USE P. O. BOX OR “MAIL ONLY” STREET ADDRESS
PLAN
FLORIDA APPLICATION
PRIVATE CARRIER (OWNS GOODS BEING TRANSPORTED)
RESIDENCE
CITY:
COUNTY:
ZIP CODE:
S C H E D U L E A
FL
FOR HIRE CARRIER
HOUSEHOLD GOODS CARRIER
THREE PROOFS OF FLORIDA PHYSICAL ADDRESS ARE REQUIRED IF THIS IS A NEW ACCOUNT OR A
PHYSICAL ADDRESS CHANGE TO YOUR CURRENT ACCOUNT. IF ANY ADDRESS OR CONTACT
YES
NO
ARE YOU AN EXEMPT COMMODITY CARRIER?
INFORMATION ON THIS APPLICATION IS A CHANGE TO YOUR CURRENT ACCOUNT, CHECK HERE
APPLICANT MAILING ADDRESS:
 (Check  as applies):
TYPE OF APPLICATION
DEPARTMENT OF HIGHWAY SAFETY
CITY:
STATE:
ZIP CODE:
ORIGINAL
TRANSFER
AND MOTOR VEHICLES
BUREAU OF COMMERCIAL VEHICLE
RENEWAL
INCREASE WEIGHT
APPLICANT TELEPHONE NUMBER:
AND DRIVER SERVICES (BCVDS)
ADD FLEET
FLEET TO FLEET TRANSFER
APPLICANT EMAIL ADDRESS:
2900 Apalachee Parkway, MS-62
CORRECTION  (Specify Below)
ADD VEHICLE
U.S. DOT NUMBER:
FEIN:
Tallahassee, Florida 32399-6552
Telephone (850) 617-3711
IRP ACCOUNT NUMBER:
FLEET NUMBER:
 COLORADO LOW MILEAGE –Check (
) the COLO. LOW MILES column for any
NAME OF AUTHORIZED AGENT/PERSON TO CONTACT:
AUTHORIZED AGENT/CONTACT
vehicle traveling in Colorado that will travel less than 10,000 miles total in all
(Power of Attorney Required)
TELEPHONE:
 
 
VEHICLE INFORMATION
jurisdictions.
A – ADD VEHICLE
C – CORRECTION
TT - TRUCK TRACTOR
TK – TRUCK (SINGLE)
TRANSACTION TYPES:
VEHICLE TYPES:
FUEL TYPES:
D – DIESEL G – GAS P - PROPANE
D – DELETE VEHICLE O – ORIGINAL R – RENEWAL
TR – TRACTOR
BS – BUS
C
MOTOR CARRIER RESPONSIBLE FOR VEHICLE SAFETY
M
T
F
GROSS OR
# of
VEHICLE
COLO.
O
FLORIDA
TRANS-
OWNER’S
# of
U.S. DOT
WILL THE DESIGNATED
A
Y
AXLES
U
COMBINED
DATE OF
OWNER’S
BUS
TAX PAYER
AXLES
ACTION
UNIT
YEAR
IDENTIFICATION
L
EMPTY
TITLE
POWER
LOW
NUMBER
CARRIER RESPONSIBLE
SEATS
K
P
TRAILER
E
GROSS
PURCHASE
PURCHASE
IDENTIFICATION NUMBER
TYPE
NUMBER
UNIT
NUMBER
NUMBER
O
WEIGHT
ASSIGNED
FOR SAFETY CHANGE
MILES
E
E
L
WEIGHT
(M / D / Y)
PRICE
ASSIGNED TO VEHICLE
R
TO VEHICLE
DURING THE YEAR?
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
I acknowledge Florida has adopted the federal motor carrier safety and hazardous material regulations
OTHER CONTACT INFORMATION FOR AUTHORIZED AGENT OR PERSON TO CONTACT REGARDING THIS APPLICATION: L (DD,
and I am familiar with the requirements applicable to me. I certify that the information furnished in
EMAIL ADDRESS TO BE USED FOR THIS ACCOUNT:
this application and the attachments are true and correct; that I have read and understand the records
MAILING ADDRESS TO BE USED FOR THIS ACCOUNT:
retention requirements for the International Registration Plan; and that I will comply with them.
CITY:
STATE:
ZIP CODE:
CHECK IF CONTACT IS CARRIER’S EMPLOYEE □
 APPLICANT'S SIGNATURE (REQUIRED) 
PRINTED NAME 
CHECK IF CONTACT IS CARRIER’S SERVICE PROVIDER
TITLE:
NAME OF CARRIER SERVICE PROVIDER COMPANY (if applicable):
**ALL CARRIER SERVICE AUTHORIZED SIGNATURES MUST BE ON FILE WITH BCVDS**
HSMV 85900 (Rev. 12/2017)
DATE:
APPLICANT INFORMATION ONLY
PLEASE TYPE OR PRINT WITH INK
REGISTRATION YEAR:
FULL NAME:
CHECK  ONE:
FLORIDA PHYSICAL ADDRESS:
INTERNATIONAL REGISTRATION
 (Select one choice):
TYPE OF OPERATION
APT/UNIT #
BUSINESS
DO NOT USE P. O. BOX OR “MAIL ONLY” STREET ADDRESS
PLAN
FLORIDA APPLICATION
PRIVATE CARRIER (OWNS GOODS BEING TRANSPORTED)
RESIDENCE
CITY:
COUNTY:
ZIP CODE:
S C H E D U L E A
FL
FOR HIRE CARRIER
HOUSEHOLD GOODS CARRIER
THREE PROOFS OF FLORIDA PHYSICAL ADDRESS ARE REQUIRED IF THIS IS A NEW ACCOUNT OR A
PHYSICAL ADDRESS CHANGE TO YOUR CURRENT ACCOUNT. IF ANY ADDRESS OR CONTACT
YES
NO
ARE YOU AN EXEMPT COMMODITY CARRIER?
INFORMATION ON THIS APPLICATION IS A CHANGE TO YOUR CURRENT ACCOUNT, CHECK HERE
APPLICANT MAILING ADDRESS:
 (Check  as applies):
TYPE OF APPLICATION
DEPARTMENT OF HIGHWAY SAFETY
CITY:
STATE:
ZIP CODE:
ORIGINAL
TRANSFER
AND MOTOR VEHICLES
BUREAU OF COMMERCIAL VEHICLE
RENEWAL
INCREASE WEIGHT
APPLICANT TELEPHONE NUMBER:
AND DRIVER SERVICES (BCVDS)
ADD FLEET
FLEET TO FLEET TRANSFER
APPLICANT EMAIL ADDRESS:
2900 Apalachee Parkway, MS-62
CORRECTION  (Specify Below)
ADD VEHICLE
U.S. DOT NUMBER:
FEIN:
Tallahassee, Florida 32399-6552
Telephone (850) 617-3711
IRP ACCOUNT NUMBER:
FLEET NUMBER:
 COLORADO LOW MILEAGE –Check (
) the COLO. LOW MILES column for any
NAME OF AUTHORIZED AGENT/PERSON TO CONTACT:
AUTHORIZED AGENT/CONTACT
vehicle traveling in Colorado that will travel less than 10,000 miles total in all
(Power of Attorney Required)
TELEPHONE:
 
 
VEHICLE INFORMATION
jurisdictions.
A – ADD VEHICLE
C – CORRECTION
TT - TRUCK TRACTOR
TK – TRUCK (SINGLE)
TRANSACTION TYPES:
VEHICLE TYPES:
FUEL TYPES:
D – DIESEL G – GAS P - PROPANE
D – DELETE VEHICLE O – ORIGINAL R – RENEWAL
TR – TRACTOR
BS – BUS
C
MOTOR CARRIER RESPONSIBLE FOR VEHICLE SAFETY
M
T
F
GROSS OR
# of
VEHICLE
COLO.
O
FLORIDA
TRANS-
OWNER’S
# of
U.S. DOT
WILL THE DESIGNATED
A
Y
AXLES
U
COMBINED
DATE OF
OWNER’S
BUS
TAX PAYER
AXLES
ACTION
UNIT
YEAR
IDENTIFICATION
L
EMPTY
TITLE
POWER
LOW
NUMBER
CARRIER RESPONSIBLE
SEATS
K
P
TRAILER
E
GROSS
PURCHASE
PURCHASE
IDENTIFICATION NUMBER
TYPE
NUMBER
UNIT
NUMBER
NUMBER
O
WEIGHT
ASSIGNED
FOR SAFETY CHANGE
MILES
E
E
L
WEIGHT
(M / D / Y)
PRICE
ASSIGNED TO VEHICLE
R
TO VEHICLE
DURING THE YEAR?
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
I acknowledge Florida has adopted the federal motor carrier safety and hazardous material regulations
OTHER CONTACT INFORMATION FOR AUTHORIZED AGENT OR PERSON TO CONTACT REGARDING THIS APPLICATION: L (DD,
and I am familiar with the requirements applicable to me. I certify that the information furnished in
EMAIL ADDRESS TO BE USED FOR THIS ACCOUNT:
this application and the attachments are true and correct; that I have read and understand the records
MAILING ADDRESS TO BE USED FOR THIS ACCOUNT:
retention requirements for the International Registration Plan; and that I will comply with them.
CITY:
STATE:
ZIP CODE:
CHECK IF CONTACT IS CARRIER’S EMPLOYEE □
 APPLICANT'S SIGNATURE (REQUIRED) 
PRINTED NAME 
CHECK IF CONTACT IS CARRIER’S SERVICE PROVIDER
TITLE:
NAME OF CARRIER SERVICE PROVIDER COMPANY (if applicable):
**ALL CARRIER SERVICE AUTHORIZED SIGNATURES MUST BE ON FILE WITH BCVDS**
HSMV 85900 (Rev. 12/2017)
DATE:
S C H E D U L E B – M I L E A G E I N F O R M A T I O N A N D W E I G H T
ENTER ACTUAL MILES TRAVELED BY FLEET
Will you be operating intrastate in the state of Wyoming?
UNITS LISTED WILL BE AUTHORIZED TO
VEHICLES FOR THE PERIOD
YES
NO
(Please
one)
OPERATE AT THE WEIGHTS LISTED BELOW
JULY 1,
THROUGH JUNE 30,
ACTUAL
ACTUAL
ACTUAL
JURISDICTION
GVW
JURISDICTION
GVW
JURISDICTION
GVW
MILES
MILES
MILES
FL – FLORIDA
MI – MICHIGAN
TX – TEXAS
AL – ALABAMA
UT – UTAH
MN – MINNESOTA
AK - ALASKA
MO – MISSOURI
VA – VIRGINIA
AR – ARKANSAS
MS – MISSISSIPPI
VT – VERMONT
AZ – ARIZONA
MT – MONTANA
WA – WASHINGTON
CA – CALIFORNIA
WI – WISCONSIN
NC – NORTH CAROLINA
CO – COLORADO
ND – NORTH DAKOTA
WV – WEST VIRGINIA
CT – CONNECTICUT
NE – NEBRASKA
WY – WYOMING
DC –
DIST. OF
NH – NEW HAMPSHIRE
AB – ALBERTA
COLUMBIA
DE – DELAWARE
NJ – NEW JERSEY
BC – BRITISH COLUMBIA
GA – GEORGIA
NM – NEW MEXICO
MB – MANITOBA
IA – IOWA
NV – NEVADA
MX – MEXICO
ID – IDAHO
NY – NEW YORK
NB – NEW BRUNSWICK
IL – ILLINOIS
OH – OHIO
NL – NEWFOUND/LABRA.
IN – INDIANA
OK – OKLAHOMA
NS – NOVA SCOTIA
KS – KANSAS
OR – OREGON
NT – NW TERRITORY
KY – KENTUCKY
PA – PENNSYLVANIA
ON – ONTARIO
LA – LOUISIANA
RI – RHODE ISLAND
PE – PRINCE ED. ISL.
MA –
SC – SOUTH CAROLINA
QC – QUEBEC
MASSACHUSETTS
MD – MARYLAND
SD – SOUTH DAKOTA
SK – SASKATCHEWAN
ME - MAINE
TN – TENNESSEE
YT - YUKON
 3 PROOFS OF ESTABLISHED PLACE OF BUSINESS OR RESIDENCE
TOTAL THE ACTUAL MILES LISTED ABOVE AND ENTER HERE
Required for new account or whenever Florida physical address changes.
PLEASE DO NOT SEND MONEY WITH THIS APPLICATION. A BILL WILL BE CALCULATED AND MAILED TO
 PROOF OF VEHICLE OWNERSHIP
PLEASE BE SURE
YOU. APPLICATIONS ARE WORKED ON FIRST RECEIVED BASIS.
Out of state titles must have a copy of clear title (front and back) or a copy of the
YOU PRINTED YOUR NAME,
SIGNED THE APPLICATION,
receipt for the electronic title; VIN Verification Form; and a letter from the lien-holder or
FOR ORIGINAL IRP APPLICATIONS ONLY: Does this fleet and/or vehicle have any history of
AND ENCLOSED THE
a lease agreement.
prior IRP registration in another jurisdiction?
FOLLOWING REQUIRED
YES
NO
 PROOF OF BODILY INJURY/PROPERTY DAMAGE LIABILITY INSURANCE WITH PIP
DOCUMENTATION, 
 PROOF OF PAYMENT OF HEAVY VEHICLE USE TAX
What jurisdiction?
AS APPLICABLE.
 COPY OF LEASE, IF APPLICABLE
Does this fleet and/or vehicles have any history of prior Florida IRP Registration?
YES
NO
 RECORD KEEPING AGREEMENT FORM HSMV 85017 (Required for new account)
Has your registration ever been suspended or revoked?
YES
NO
HSMV 85900 (Rev. 12/2017)
Page of 2