Free Hsmv 85054 Form in PDF

Free Hsmv 85054 Form in PDF

The HSMV 85054 form is a document issued by the Florida Highway Safety and Motor Vehicles (FLHSMV) Department, designed for individuals or entities requesting motor vehicle, vessel, and mobile home records. It outlines the process and the fees required for obtaining various types of records, ensuring personal information is protected under the Driver's Privacy Protection Act of 1994 and relevant Florida statutes. For those looking to access or request records, understanding the nuances of this form is critical.

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The HSMV 85054 form is a comprehensive request form issued by the Florida Department of Highway Safety and Motor Vehicles (FLHSMV) for those seeking access to motor vehicle, vessel, and mobile home records. This form is crucial for individuals or entities requiring detailed information for a variety of purposes, from legal investigations to market research. It outlines the need for fees upon request submission, payable to the Division of Motorist Services, underscoring the department's requirement for processing fees to access these records. The form also stipulates a standard two-week processing time from the date of reception, ensuring requesters have a clear expectation of the timeline. Applicants are required to provide exhaustive information, including personal details and the specific records requested, certifying under penalty of perjury their entitlement to the requested information. Moreover, it integrates provisions from the Driver's Privacy Protection Act of 1994, outlining stringent criteria for the disclosure of personal information, thereby balancing public access to information with individual privacy rights. By delineating a broad spectrum of potential uses from government functions to private research, the form serves as a gateway to a vast array of data crucial for safety, legal, and commercial needs. Furthermore, FLHSMV emphasizes customer service support for queries, reinforcing their commitment to assisting requesters throughout the process. This form embodies the intersection between accessibility to public records and the protection of personal information, reflecting a meticulous approach to handling sensitive data in the public domain.

Preview - Hsmv 85054 Form

FLORIDA HIGHWAY SAFETY AND MOTOR VEHICLES

DIVISION OF MOTORIST SERVICES 2900 Apalachee Parkway, Room B231, Mail Stop 57 Neil Kirkman Building - Tallahassee,FL 32399

MOTOR VEHICLE, VESSEL AND MOBILE HOME RECORDS REQUEST

FEES ARE REQUIRED AT TIME OF REQUEST AND ARE PAYABLE TO DIVISION OF MOTORIST SERVICES.

PLEASE ALLOW A 2-WEEK PROCESSING TIME FROM THE DATE WE RECEIVE THIS REQUEST.

Requester's Information:

Name of Requester

 

 

Date of Request

 

Reference # (Case/File Name)

 

 

 

 

 

 

Street Address

 

To receive personal information, provide

 

Email Address

 

the exemption number(s) above from the list onthe

 

 

 

 

 

back of this form . * If you request your

 

 

 

 

 

own personal information, see note below.

 

 

 

 

 

 

 

 

 

 

City

 

State

Zip

 

Fax Number

Under penalty of perjury, I affirm that I am entitled to receive this information and understand that I may not redisclose this information, except as provided in section 119.0712(2), Florida Statutes, and the Driver's Privacy Protection Act of 1994, 18 U.S.C. ss. 2721 et seq.

Signature of Requester or Contact Person

Telephone Number

*NOTE: If requesting your own personal information you must sign this request.

Type of Record Request:

Motor Vehicle

Vessel

Mobile Home

Last known address

Certified Record Request (An additional $3.00 is required per record)

(Records are available up to 10 years. You may

attach a separate sheet for additionalrequests.)

CURRENT REGISTRATION REQUEST - $ .50 Each

VIN/HIN Number

Make

Current

OR

Year

Title Number

License Plate or FL #

(as of): Month Day Year

TITLE RECORD REQUEST (By Vehicle/Vessel Identification Number or Title Number Only)

VIN/HIN Number

 

Title Number

Title History Printout (lists owner(s) of vehicle) - $1.00

Specific Title Transaction - $1.00 Per Page

Complete Title History (scanned Images)- $25.00

We request $25.00 as initial payment for each record. The fee is $1 per page. If additional fees are required, we will contact you.

(Month, Day and Year)

MOTOR VEHICLE RECORD REQUEST BY NAME AND PERSONAL INFORMATION - $ .50 Each

 

 

 

 

 

 

 

 

 

 

First

Middle

Last

Date of Birth

Driver License/ID number

 

 

 

 

 

 

 

 

HSMV 90510 - Revised 03/19

DRIVER'S PRIVACY PROTECTION ACT EXEMPTIONS

Pursuant to section 119.0712(2), F. S., personal information in motor vehicle and driver license records can be released for the following purposes, as outlined in 18 United States Code, section 2721.

Personal information referred to in subsection (a) shall be disclosed for use in connection with matters of motor vehicle or driver safety and theft, motor vehicle emissions, motor vehicle product alterations, recalls, or advisories, performance monitoring of motor vehicles and dealers by motor vehicle manufacturers, and removal of non-owner records from the original owner records of motor vehicle manufacturers to carry out the purposes of titles I and IV of the Anti Car Theft Act of 1992, the Automobile Information Disclosure Act (15 U.S.C. 1231 et seq.), the Clean Air Act (42 U.S.C. 7401 et seq.), and chapters 301, 305, and 321-331 of title 49, and, subject to subsection (a)(2), may be disclosed as follows:

1.For use by any government agency, including any court or law enforcement agency, in carrying out its functions, or any private person or entity acting on behalf of a Federal, State, or local agency in carrying out itsfunctions.

2.For use in connection with matters of motor vehicle or driver safety and theft; motor vehicle emissions; motor vehicle product alterations, recalls, or advisories; performance monitoring of motor vehicles, motor vehicle parts and dealers; motor vehicle market research activities, including survey research; and removal of non-owner records from the original owner records of motor vehicle manufacturers.

3.For use in the normal course of business by a legitimate business or its agents, employees, or contractors, but only -

(a)to verify the accuracy of personal information submitted by the individual to the business or its agents, employees, or contractors; and

(b)if such information as so submitted is not correct or is no longer correct, to obtain the correct information, but only for the purposes of preventing fraud by, pursuing legal remedies against, or recovering on a debt or security interest against, the individual.

4.For use in connection with any civil, criminal, administrative, or arbitral proceeding in any Federal, State, or local court or agency or before any self-regulatory body, including the service of process, investigation in anticipation of litigation, and the execution or enforcement of judgments and orders, or pursuant to an order of a Federal, State, or local court.

5.For use in research activities, and for use in producing statistical reports, so long as the personal information is not published, redisclosed, or used to contact individuals.

6.For use by any insurer or insurance support organization, or by a self-insured entity, or its agents, employees, or contractors, in connection with claims investigation activities, antifraud activities, rating or underwriting.

7.For use in providing notice to the owners of towed or impounded vehicles.

8.For use by any licensed private investigative agency or licensed security service for any purpose permitted under this subsection.

9.For use by an employer or its agent or insurer to obtain or verify information relating to a holder of a commercial driver's license that is required under chapter 313 of title 49.

10.For use in connection with the operation of private toll transportation facilities.

11.For any other use in response to requests for individual motor vehicle records if the State has obtained the express consent of the person to whom such personal information pertains.

12.For bulk distribution for surveys, marketing or solicitations if the State has obtained the express consent of the person to whom such personal information pertains.

13.For use by any requester, if the requester demonstrates it has obtained the written consent of the individual to whom the information pertains.

14.For any other use specifically authorized under the law of the State that holds the record, if such use is related to the operation of a motor vehicle or public safety.

If you have questions or need additional information, please contact the Department’s Customer Service Center at (850) 617-2000.

Visit our website: www.flhsmv.gov

Document Specs

Fact Name Fact Detail
Form Identification HSMV 85054
Form Purpose To request motor vehicle, vessel, and mobile home records.
Associated Department Florida Highway Safety and Motor Vehicles (FLHSMV) Division of Motorist Services
Location 2900 Apalachee Parkway, Room B231, Mail Stop 57 Neil Kirkman Building - Tallahassee, FL 32399
Processing Time Approximately 2 weeks from the date of receipt
Fees Requirement Payment required at the time of request, payable to the Division of Motorist Services
Personal Information Request Exemption numbers required to receive personal information, under penalties of perjury
Record Request Types Available options include Motor Vehicle, Vessel, Mobile Home, Current Registration, and Title Record Request
Governing Laws Section 119.0712(2), Florida Statutes, and the Driver's Privacy Protection Act of 1994, 18 U.S.C. ss. 2721 et seq.
Customer Service Contact FLHSMV Customer Service Center at (850) 617-2000
Privacy Protections Limits on disclosure of personal information as outlined in 18 U.S.C. section 2721 and Florida Statutes

Instructions on Writing Hsmv 85054

Filing out the HSMV 85054 form is a process designed to request various types of motor vehicle, vessel, and mobile home records from the Florida Highway Safety and Motor Vehicles Division. This form plays a crucial role for individuals or entities needing access to these records for legitimate purposes. Each detail filled out contributes to the smooth handling and accurate fulfillment of the request. Here's a step-by-step guide to help you accurately complete the form:

  1. Begin with Requester's Information. Fill in your full name or the name of the entity making the request in the "Name of Requester" field.
  2. Enter your complete street address, including the city, state, and zip code in the respective fields.
  3. Specify the date of the request next to your address information.
  4. If applicable, provide the exemption number(s) from the list on the back of the form in the designated space to indicate your eligibility to receive personal information.
  5. Include a reference number or case/file name if this request is associated with a specific case or file.
  6. Add your email address and fax number to ensure you can be contacted or receive information through various means.
  7. Under the perjury statement, provide your signature to affirm your entitlement to the requested information and your understanding of the confidentiality rules surrounding its redistribution.
  8. Provide your telephone number in the designated space for potential follow-up or clarification.
  9. For the Type of Record Request, indicate whether you are requesting information related to a Motor Vehicle, Vessel, or Mobile Home by checking the corresponding box.
  10. If you’re requesting a Certified Record, note that an additional $3.00 per record is required and check the appropriate box.
  11. Under CURRENT REGISTRATION REQUEST, provide the VIN/HIN number, make, year, title number, and license plate or FL number. Specify the date for which you're requesting the current registration by filling out the month, day, and year.
  12. For a TITLE RECORD REQUEST, input the VIN/HIN number and title number. Choose between Title History Printout, Specific Title Transaction, and Complete Title History, acknowledging the associated fees.
  13. When requesting a MOTOR VEHICLE RECORD BY NAME AND PERSONAL INFORMATION, complete the sections for the individual’s first, middle, and last name, date of birth, and driver license/ID number.

Upon completing the form, review all information for accuracy and completeness. The required fees should accompany the form at the time of request, made payable to the Division of Motorist Services. Allow a 2-week processing time from the date the request is received for your records to be processed and sent. This careful attention to detail ensures your request is handled efficiently, respecting both legal requirements and personal data privacy.

Understanding Hsmv 85054

What is the Hsmv 85054 form?

The Hsmv 85054 form is a document used by the Florida Highway Safety and Motor Vehicles Division to request motor vehicle, vessel, and mobile home records. It requires the requester to provide detailed information about themselves, sign under penalty of perjury, and specify the type of record requested. Fees are applicable and must be paid at the time of the request.

Who can request information using the Hsmv 85054 form?

Information can be requested by individuals or entities who can provide a valid reason under the guidelines provided by the Driver's Privacy Protection Act of 1994 and section 119.0712(2), Florida Statutes. This includes government agencies, businesses verifying personal information, insurance companies, licensed private investigative agencies or security services, and others provided they meet specific criteria.

Are there fees associated with requesting records through this form?

Yes, fees are required at the time of the request and vary depending on the type of record needed. For instance, there is a processing fee, with additional charges for certified record requests and complete title histories. The form outlines specific fees for different types of record requests.

What types of records can be requested with the Hsmv 85054 form?

This form allows for the request of motor vehicle, vessel, and mobile home records. It includes options for current registration requests, title record requests, and motor vehicle records by name and personal information, with details such as VIN/HIN number, make, model, year, and title number.

How long does the processing of a request take?

Processing time for requests using the Hsmv 85054 form is approximately 2 weeks from the date the Florida Department of Highway Safety and Motor Vehicles receives the request. This timeframe allows for thorough handling and verification of the information provided.

Can personal information be requested through this form?

Yes, personal information can be requested, but the requester must provide a specific exemption number from the list provided on the back of the form or demonstrate a permissible use under the Driver's Privacy Protection Act or relevant Florida statutes. If requesting one's own personal information, the requester must sign the form to indicate this.

What are the penalties for misuse of the information obtained through the Hsmv 85054 form?

Requesters must sign under penalty of perjury, affirming their entitlement to the requested information and understanding that the misuse or unauthorized redisclosure of information is prohibited. Violations can lead to legal actions, including but not limited to, civil, criminal, and administrative penalties under applicable federal and state laws.

Common mistakes

Filling out governmental forms can often seem overwhelming. This is particularly true for complex documents like the HSMV 85054 form, used for requesting records from the Florida Highway Safety and Motor Vehicles Division. Completing this form incorrectly can delay the process, and in some cases, could lead to the denial of a request. Identifying common mistakes can help ensure the process goes smoothly.

One frequent error is not providing all required information in the Requester's Information section. This section requires detailed information, including the name of the requester, street address, email address, and other contact details. If any of this information is left blank or is incomplete, it could lead to processing delays. This oversight often happens because applicants might rush through these initial sections, focusing more on the parts of the form they deem more important.

Another common mistake is misunderstanding the fees required and how they should be paid. All fees must be paid at the time of the request and made payable to the Division of Motorist Services. Failing to include the correct fee amount, or omitting it entirely, can halt the processing of the request until the payment issue is resolved. This is a simple yet critical step that is frequently overlooked.

Requesters often skip over the part that requires them to affirm, under penalty of perjury, that they are entitled to the requested information. This declaration is not just procedural; it's a legal requirement ensuring the requester understands the gravity of the sensitivity of the information they are seeking. Neglecting to sign this section or treating it as a mere formality can invalidate the request.

Choosing the correct type of record request and providing all necessary information for that type is also critical but often mishandled. Whether it's a motor vehicle, vessel, or mobile home record, the request must be specific, specifying details like the VIN/HIN number or the title number. Incomplete or inaccurate information in this area can lead to the requested records not being found or the wrong records being provided.

Last but not least is the misunderstanding or misuse of the driver's privacy protection act exemptions. These exemptions allow certain information to be disclosed under specific circumstances. However, applicants sometimes either claim an exemption they are not eligible for or fail to indicate their eligibility correctly. This proper identification ensures that sensitive information is protected and only released when legally permissible.

In summary, paying close attention to detail and fully understanding each section of the HSMV 85054 form is crucial. By avoiding these common errors, requesters can help ensure their requests are processed efficiently and without unnecessary delays.

Documents used along the form

The HSMV 85054 form, integral to the Florida Highway Safety and Motor Vehicles (FLHSMV) operations, serves as a formal request for accessing motor vehicle, vessel, and mobile home records. Typically, when individuals or entities fill out this form seeking specific information, auxiliary documents may be required or used in conjunction to either substantiate the identity of the requester, justify the need for information, or ensure proper handling and usage of the obtained data. Below is a list of documents often accompanying the HSMV 85054 form, each pivotal in various scenarios that necessitate access to FLHSMV records.

  • Form HSMV 90510 - This is an affidavit specifically catering to the Driver's Privacy Protection Act Exemptions. Individuals or entities who seek to access personal information from motor vehicle records must justify their request under the stipulations of this act, often necessitating the completion of this form to demonstrate lawful purpose.
  • Power of Attorney (POA) - In situations where the requester is acting on behalf of another individual, a POA may be necessary. This legal document grants the requester the authority to act on behalf of the principal in matters specified within the document, including requests for personal or sensitive information from FLHSMV.
  • Driver License Copy - A photocopy of the requester's driver license can be required for identity verification purposes. This helps the FLHSMV ensure that requests for information are legitimate and that personal information is being released to the right individual.
  • Proof of Relationship or Legal Standing - When requesting records pertaining to another individual, documentation proving a legal or familial relationship to that individual may be required. This could include marriage certificates, court documents, or other legal papers confirming the requester's standing to access such information.
  • Court Order - In certain circumstances, especially those involving litigation or other legal proceedings, a court order might be necessary to access specific records from the FLHSMV. This document, issued by a judge, compels the release of records that might otherwise be protected under privacy laws.

Utilizing these documents in conjunction with the HSMV 85054 form allows for a smooth and lawful process in obtaining necessary records from the Florida Department of Highway Safety and Motor Vehicles. Whether for legal, personal, or commercial purposes, the synergy between these forms and documents ensures adherence to protocols and laws, safeguarding personal information while facilitating the necessary flow of information.

Similar forms

The HSMV 85054 form is closely related to the Driver Record Request form used in various states to obtain personal driving records. Both forms facilitate access to information held by the respective state's Department of Motor Vehicles (DMV) or equivalent agency. They require the requester to provide specific personal information and, in many cases, to state the reason for the request, consistent with privacy protection laws. The key difference lies in the range of records each form can request; the HSMV 85054 extends beyond driving records to include vehicle, vessel, and mobile home records.

Another analogous document is the Vehicle Registration Request form, which, similar to the HSMV 85054 form, is used to request current or historical registration information on vehicles, vessels, or mobile homes. Both forms necessitate the submission of an identifying number (VIN for vehicles and vessels, or mobile home description) and payment of a fee. These forms serve individuals or entities needing to verify ownership or registration status for various purposes including but not limited to legal, financial, or insurance-related decisions.

The Title Record Request form shares similarities with the HSMV 85054 form in its purpose to provide access to title history of a vehicle, vessel, or mobile home. Users of either form may be seeking information like previous owners, title transfers, or liens against the property. They cater to those involved in purchasing decisions, legal disputes, or historical research. Both forms emphasize the importance of confidentiality and legal compliance in the dissemination and use of the information provided.

The Motor Vehicle Record (MVR) Request form by Name and Personal Information also parallels the HSMV 85054 form. It targets a different set of records focusing on individual driving histories, which can include license status, traffic violations, and accident reports. Like the HSMV 85054, it serves various stakeholders including employers, insurance companies, and legal entities. Both demand rigorous adherence to privacy laws, specifically stipulating circumstances under which information can be legally requested and disclosed.

Finally, the Personal Information Release Authorization form is significantly connected to the HSMV 85054 as it often acts as a companion document. Its primary function is to obtain explicit permission from individuals to release their personal information protected under privacy laws, such as the Driver's Privacy Protection Act (DPPA). The HSMV 85054 form similarly mandates demonstration of authorization or entitlement to access someone's personal information, underscoring the importance of consent and legal justification in the handling of sensitive records.

Dos and Don'ts

When completing the HSMV 85054 form, a series of guidelines should be closely followed to ensure accurate submission and compliance with the Florida Highway Safety and Motor Vehicles Division's requirements. Below are listed the essential do's and don'ts for filling out the form:

  • Do provide accurate and complete information in every section of the form to avoid delays in processing.
  • Do review the list of exemptions under the Driver's Privacy Protection Act before listing an exemption number, ensuring the reason for the request aligns with authorized uses.
  • Do ensure the signature of the requester or contact person is included on the form, as this is a declaration under penalty of perjury of entitlement to the requested information.
  • Do attach a separate sheet for additional record requests if the space provided is insufficient for your needs, making sure it’s clearly legible and properly formatted.
  • Do indicate the type of record request clearly by marking the appropriate box for Motor Vehicle, Vessel, or Mobile Home records to prevent any misunderstanding.
  • Do not omit the payment of the required fee, as the processing of the request cannot proceed without it. Fees must be payable to the Division of Motorist Services.
  • Do not request personal information without providing a valid exemption number if you are not requesting your own information, to comply with privacy regulations.
  • Do not redisclose the received information except as provided in section 119.0712(2), Florida Statutes, and the Driver's Privacy Protection Act of 1994, violating this clause could lead to legal repercussions.
  • Do not forget to specify if a certified record request is needed, as this entails an additional fee and is crucial for certain legal or official requirements.
  • Do not underestimate the processing time; please allow a 2-week processing period from the date the Division of Motorist Services receives the form.

Adherence to these guidelines when completing the HSMV 85054 form will facilitate a smoother transaction with the Florida Highway Safety and Motor Vehicles Division and help ensure the request is processed timely and correctly.

Misconceptions

  • One common misconception is that the HSMV 85054 form is only for vehicle-related requests. In reality, this form also accommodates requests for vessel and mobile home records, making it versatile for various needs.

  • Many people believe that personal information cannot be accessed through the HSMV 85054 form. However, the form does allow for the release of personal information under specific exemptions outlined in the Driver's Privacy Protection Act of 1994 and section 119.0712(2), Florida Statutes, ensuring a balance between privacy and legitimate access.

  • There's a misunderstanding that fees are negotiable or can be waived. All fees are required at the time of the request and are non-negotiable, ensuring fairness and consistency in processing.

  • Some think the processing time can be expedited on request. The form clearly states a 2-week processing time, emphasizing the importance of planning and the inability to rush orders.

  • Another misconception is that the form lacks options for detailed record requests. It provides options for current registration requests, title record requests (including a complete title history), and motor vehicle record requests by name, offering comprehensive access to information.

  • There's a belief that any request for information will be fulfilled. Requests must meet certain criteria, including the demonstration of entitlement to the information and understanding of limitations on its redisclosure, to ensure information is used responsibly.

  • Lastly, some assume the form is complicated and requires legal expertise to complete. While comprehensive, the form is designed to be accessible, with clear sections for requester's information, type of record request, and the necessary acknowledgments regarding the use of the retrieved information.

Key takeaways

Filling out and using the HSMV 85054 form, essential for those needing access to motor vehicle, vessel, and mobile home records in Florida, requires a grasp of several crucial aspects. These facets ensure the process is both smooth and compliant with legal stipulations. Here are four key takeaways to keep in mind:

  • Accuracy and Completeness: When completing the HSMV 85054 form, providing accurate and complete information is paramount. This includes the requester's details, the specific records being requested, and any pertinent identifiers like VIN/HIN numbers or license plate numbers. Submitting precise information helps avoid delays or complications in processing the request.
  • Fees and Processing Time: Requests involve certain fees, payable to the Division of Motorist Services at the time of the request. Awareness of the cost associated with each record type (current registration, title record, etc.) and the additional charges for certified records is crucial. Additionally, applicants should anticipate a processing period, generally around 2 weeks from when the department receives the form, factoring this timeframe into planning.
  • Legal Compliance and Perjury: Signatories affirm under penalty of perjury that they are entitled to the requested information and understand the conditions regarding the nondisclosure of the information obtained. This involves adherence to section 119.0712(2), Florida Statutes, and the Driver’s Privacy Protection Act of 1994, emphasizing the importance of legal compliance in using the form and handling the records.
  • Utilization of Exemptions for Personal Information: The form outlines exemptions under the Driver’s Privacy Protection Act that permit the release of personal information for specific uses, such as matters of public safety, legal proceedings, and research. Understanding these exemptions allows requesters to accurately identify their eligibility to access personal information, ensuring that requests align with legal allowances for the use of sensitive data.

Adherence to these guidelines ensures that the process of requesting and using records via the HSMV 85054 form is both efficient and compliant with Florida law. Whether for personal, business, or legal purposes, understanding the form’s requirements, fee structure, legal obligations, and usage permissions forms the basis of a successful records request.

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