DMS Form MP6401 "Request for Disposal of Mobile Equipment" - Florida

What Is DMS Form MP6401?

This is a legal form that was released by the Florida Department of Management Services - 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 January 1, 2016;
  • The latest edition provided by the Florida Department of Management Services;
  • 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 DMS Form MP6401 by clicking the link below or browse more documents and templates provided by the Florida Department of Management Services.

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Download DMS Form MP6401 "Request for Disposal of Mobile Equipment" - Florida

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CLEAR FORM
DMS Fleet Management
Request for Disposal of Mobile Equipment
PRIOR to completion of DMS Form MP6401, review Rule 60B-3, F.A.C., Disposal of Motor Vehicles, Watercraft, and
Aircraft.
Along with this form, required information needed to be submitted can be found HERE.
A. REQUESTOR
Department:
Request #:
CHOOSE AGENCY/DEPARTMENT
Division:
Date:
Name:
Title:
Address:
City:
Zip:
Phone:
Fax:
Email:
B. MOTOR VEHICLE(S) OR MOBILE EQUIPMENT CONTACT AND LOCATION
Is this information the same as Section A. Requestor?
Yes
No
If no, please complete the following:
Name:
Title:
Address:
City:
Zip:
Phone:
Fax:
Email:
Location City:
Location Phone:
C. DESCRIPTION OF MOTOR VEHICLE(S) OR MOBILE EQUIPMENT TO BE DISPOSED
Vehicle Type
Tag/Property #
Year
Make
Model
VIN/Serial #
# Miles/Hours
(Sedan, Pickup, Van, etc.)
If other, please explain:
Operational
Non-Operational
Status of Equipment:
If Non-Operational, specify if:
Wrecked
Burned
Other
D. RECALL INFORMATION
Does this motor vehicle or mobile equipment have an active recall?
No
Yes
If yes, please explain:
G. APPROVER OR DELEGATE
Name:
Title:
Authorized Signature:
Authorized signature certifies that the above information is true and correct.
Completed forms and documentation should be sent to : Martha Balboni - Martha.Balboni@DMS.MyFlorida.com
DMS Fleet Management
4050 Esplanade Way, Suite 380
Tallahassee, FL 32399-0950
FAILURE TO COMPLETE ALL APPLICABLE SECTIONS WILL DELAY PROCESSING OF THIS REQUEST.
DMS FORM MP6401
Revised 2016
CLEAR FORM
DMS Fleet Management
Request for Disposal of Mobile Equipment
PRIOR to completion of DMS Form MP6401, review Rule 60B-3, F.A.C., Disposal of Motor Vehicles, Watercraft, and
Aircraft.
Along with this form, required information needed to be submitted can be found HERE.
A. REQUESTOR
Department:
Request #:
CHOOSE AGENCY/DEPARTMENT
Division:
Date:
Name:
Title:
Address:
City:
Zip:
Phone:
Fax:
Email:
B. MOTOR VEHICLE(S) OR MOBILE EQUIPMENT CONTACT AND LOCATION
Is this information the same as Section A. Requestor?
Yes
No
If no, please complete the following:
Name:
Title:
Address:
City:
Zip:
Phone:
Fax:
Email:
Location City:
Location Phone:
C. DESCRIPTION OF MOTOR VEHICLE(S) OR MOBILE EQUIPMENT TO BE DISPOSED
Vehicle Type
Tag/Property #
Year
Make
Model
VIN/Serial #
# Miles/Hours
(Sedan, Pickup, Van, etc.)
If other, please explain:
Operational
Non-Operational
Status of Equipment:
If Non-Operational, specify if:
Wrecked
Burned
Other
D. RECALL INFORMATION
Does this motor vehicle or mobile equipment have an active recall?
No
Yes
If yes, please explain:
G. APPROVER OR DELEGATE
Name:
Title:
Authorized Signature:
Authorized signature certifies that the above information is true and correct.
Completed forms and documentation should be sent to : Martha Balboni - Martha.Balboni@DMS.MyFlorida.com
DMS Fleet Management
4050 Esplanade Way, Suite 380
Tallahassee, FL 32399-0950
FAILURE TO COMPLETE ALL APPLICABLE SECTIONS WILL DELAY PROCESSING OF THIS REQUEST.
DMS FORM MP6401
Revised 2016