Form HSMV74010 "Affidavit to Reinstate Driver License/Privilege in Accordance With Florida Statute 322.245" - Florida

What Is Form HSMV74010?

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 August 1, 2008;
  • 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 printable version of Form HSMV74010 by clicking the link below or browse more documents and templates provided by the Florida Department of Highway Safety and Motor Vehicles.

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Download Form HSMV74010 "Affidavit to Reinstate Driver License/Privilege in Accordance With Florida Statute 322.245" - Florida

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AFFIDAVIT TO REINSTATE DRIVER LICENSE/PRIVILEGE
IN ACCORDANCE WITH FLORIDA STATUTE 322.245
Unpaid Financial Obligations
DATE: _______________________________
COURT CASE
NUMBER:___________________________________________________________________________
NAME:
___________________________________________________________________________________
(first)
(middle)
(last)
(suffix)
SEX: ________
DATE OF BIRTH: ______________________
DRIVER LICENSE NUMBER:___________________________________________________________
In order to reinstate your driving privilege, you must present this ORIGINAL affidavit to any
Driver License Examining Office.
Has satisfied the financial obligation in full or made all payments currently due under a
payment plan.
Has entered into a written agreement for payment of the financial obligation if not presently
enrolled in a payment plan.
A court has entered an order granting relief to the above person ordering the reinstatement of the
license.
_____________________________________________
Signature of Clerk of Court/Designee and Court Seal
HSMV 74010 (08/08) 
AFFIDAVIT TO REINSTATE DRIVER LICENSE/PRIVILEGE
IN ACCORDANCE WITH FLORIDA STATUTE 322.245
Unpaid Financial Obligations
DATE: _______________________________
COURT CASE
NUMBER:___________________________________________________________________________
NAME:
___________________________________________________________________________________
(first)
(middle)
(last)
(suffix)
SEX: ________
DATE OF BIRTH: ______________________
DRIVER LICENSE NUMBER:___________________________________________________________
In order to reinstate your driving privilege, you must present this ORIGINAL affidavit to any
Driver License Examining Office.
Has satisfied the financial obligation in full or made all payments currently due under a
payment plan.
Has entered into a written agreement for payment of the financial obligation if not presently
enrolled in a payment plan.
A court has entered an order granting relief to the above person ordering the reinstatement of the
license.
_____________________________________________
Signature of Clerk of Court/Designee and Court Seal
HSMV 74010 (08/08)