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The Florida HSMV 83330 form, also known as the Insurance Affidavit, plays a crucial role in the vehicle registration process within the state. This form serves as a declaration by the insured individual, confirming that they possess the necessary insurance coverage, including Personal Injury Protection, Property Damage Liability, and, when applicable, Bodily Injury Liability Insurance. To complete the form, the insured must provide their name, the name of their insurance company, and specific details regarding their vehicle, such as the year, make, and Vehicle Identification Number (VIN). It is imperative that the insurance company listed is licensed to operate in Florida, ensuring that the policy complies with state regulations. The form also emphasizes the serious consequences of providing false information, as doing so can lead to criminal charges. By signing the affidavit, the insured acknowledges that failure to maintain valid insurance could result in the suspension of their driver’s license, license plates, and vehicle registration. This underscores the importance of the HSMV 83330 form in promoting responsible vehicle ownership and compliance with Florida's insurance laws.

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FLORIDA INSURANCE AFFIDAVIT

Under penalty of perjury, I __________________________________________ certify that I have

(Name of Insured)

Personal Injury Protection, Property Damage Liability, and, when required, Bodily Injury Liability Insurance currently in effect with _____________________________________________ under

(Name of Insurance Company)

__________________________ ____________________ covering the following motor vehicle:

(Policy Number)Company Code Number (5 digits)

_________________________________________________________________________________________________________

Year

Make

Vehicle Identification Number

This insurance company is licensed to issue insurance policies in Florida. I understand that my driver license, license plate(s) and registration(s) will be suspended effective from the registration date, if the insurer denies that this policy is in force.

_______________________________________

Signature of Insured

WARNING: GIVING FALSE INFORMATION IN ORDER TO OBTAIN A VEHICLE REGISTRATION CERTIFICATE IS A CRIMINAL OFFENSE UNDER FLORIDA LAW. ANYONE GIVING FALSE INFORMATION ON THIS AFFIDAVIT IS SUBJECT TO PROSECUTION.

HSMV 83330 (Rev. 09/09)

www.flhsmv.gov

Form Specifications

Fact Name Description
Purpose of the Form The Florida HSMV 83330 form serves as an affidavit for individuals to certify that they have the required insurance coverage for their motor vehicle, including Personal Injury Protection and Property Damage Liability.
Governing Law This form is governed by Florida Statutes, specifically Section 320.02(1)(a), which mandates proof of insurance for vehicle registration.
Consequences of False Information Providing false information on this affidavit is a criminal offense in Florida. Individuals may face prosecution for submitting inaccurate details.
Insurance Company Requirements The insurance company listed on the form must be licensed to issue policies in Florida, ensuring that the coverage is valid and recognized by the state.

Florida Hsmv 83330: Usage Guidelines

Filling out the Florida HSMV 83330 form is a straightforward process that requires specific information regarding your insurance coverage. This form is essential for demonstrating that you have the necessary insurance in place for your vehicle. Follow the steps below to ensure accurate completion.

  1. Obtain the Form: Download or print the Florida HSMV 83330 form from the official Florida Department of Highway Safety and Motor Vehicles website.
  2. Enter Your Name: In the space provided, write your full name as the insured individual.
  3. Provide Insurance Company Name: Fill in the name of your insurance company in the designated area.
  4. Policy Number: Write your insurance policy number clearly in the appropriate section.
  5. Company Code Number: Enter the five-digit company code number associated with your insurance provider.
  6. Vehicle Information: Complete the details about your vehicle, including the year, make, and Vehicle Identification Number (VIN).
  7. Signature: Sign the form where indicated. This signature certifies that the information provided is true and accurate.

After completing the form, ensure that all information is correct and legible. You may need to submit this form along with other required documents to the appropriate agency for processing.

Your Questions, Answered

What is the Florida HSMV 83330 form?

The Florida HSMV 83330 form is an Insurance Affidavit used to certify that a vehicle owner has the required insurance coverage for their vehicle. This includes Personal Injury Protection, Property Damage Liability, and, when applicable, Bodily Injury Liability Insurance. The form must be completed and submitted to the Florida Department of Highway Safety and Motor Vehicles (DHSMV) when registering a vehicle.

Who needs to complete the HSMV 83330 form?

What information is required on the HSMV 83330 form?

The form requires several pieces of information. You will need to provide your name, the name of your insurance company, the policy number, and the company code number. Additionally, you must include details about the vehicle, such as its year, make, and Vehicle Identification Number (VIN).

What happens if the insurance policy is not in effect?

If the insurance policy is not in effect, the Florida DHSMV may suspend your driver’s license, license plates, and vehicle registration. This suspension will take effect from the registration date. It is crucial to ensure that the insurance policy is active before submitting the form.

What are the consequences of providing false information on the HSMV 83330 form?

Providing false information on the HSMV 83330 form is a serious offense. Under Florida law, it is considered a criminal act. Individuals who submit false information may face prosecution, which can result in legal penalties, including fines and potential jail time.

How can I submit the HSMV 83330 form?

The HSMV 83330 form can typically be submitted in person at a local tax collector's office or a Florida DHSMV branch. Some counties may also offer online submission options. Always check with your local office for the most current submission methods and any additional requirements.

Where can I find the HSMV 83330 form?

The HSMV 83330 form can be downloaded from the Florida Department of Highway Safety and Motor Vehicles website. It is advisable to obtain the most recent version to ensure compliance with any updates or changes in regulations.

Common mistakes

  1. Failing to provide complete and accurate information about the insured. Ensure that the name of the insured matches exactly with the insurance policy.

  2. Not including the correct policy number. Double-check the policy number to avoid any discrepancies that could lead to issues with your registration.

  3. Omitting the insurance company name. Make sure to clearly write the full name of the insurance company providing coverage.

  4. Neglecting to enter the vehicle identification number (VIN). This number is crucial for identifying the specific vehicle being insured.

  5. Signing the form without reading the entire affidavit. Understand the implications of the statement, especially regarding penalties for false information.

  6. Not verifying that the insurance company is licensed in Florida. Ensure that the insurer is authorized to issue policies in the state to avoid registration issues.

Documents used along the form

The Florida HSMV 83330 form, known as the Insurance Affidavit, is an important document for vehicle registration in the state. It certifies that the vehicle owner has the necessary insurance coverage as required by Florida law. Alongside this form, several other documents may also be required or helpful during the registration process. Below is a list of these documents, each with a brief description.

  • Florida Vehicle Registration Application (HSMV 82040): This form is used to apply for the registration of a vehicle in Florida. It gathers essential information about the vehicle and the owner, including identification details and any applicable fees.
  • Proof of Identity: A valid form of identification, such as a Florida driver’s license or a state-issued ID, is necessary to verify the identity of the vehicle owner. This helps prevent fraud and ensures that the registration is issued to the rightful owner.
  • Title Certificate: If the vehicle is not new, the owner must provide the title certificate. This document proves ownership and may be required to transfer the title during the registration process.
  • Proof of Insurance: In addition to the HSMV 83330 form, a copy of the insurance policy or card may be needed. This serves as evidence that the vehicle is insured in accordance with Florida's requirements.
  • Odometer Disclosure Statement: For vehicles less than ten years old, this statement is necessary to disclose the mileage on the vehicle at the time of sale or transfer. It helps ensure transparency and prevents odometer fraud.
  • Payment for Fees: Registration fees must be paid at the time of application. Acceptable forms of payment can include cash, check, or credit card, depending on the location of the registration office.

Gathering these documents in advance can streamline the vehicle registration process in Florida. Each document plays a crucial role in ensuring compliance with state laws and protecting the rights of vehicle owners. Being prepared can save time and reduce potential complications during registration.

Similar forms

The Florida HSMV 83330 form, known as the Insurance Affidavit, serves a specific purpose in verifying insurance coverage for motor vehicles. Several other documents share similar functions in different contexts. Here are four such documents:

  • Florida HSMV 83330 Form (Proof of Insurance): This form also verifies that a vehicle has the necessary insurance coverage required by Florida law. It is often used during vehicle registration and ensures compliance with state insurance requirements.
  • Florida Vehicle Registration Application (HSMV 82040): This document is used to apply for vehicle registration. Like the HSMV 83330, it requires proof of insurance and ensures that the vehicle is legally registered to operate on Florida roads.
  • Florida Insurance Card: This card serves as proof of insurance coverage for drivers. It contains essential information such as the policy number and the insurance company, similar to the details required in the HSMV 83330 form.
  • Florida SR-22 Form: This document is a certificate of financial responsibility filed by an insurance company on behalf of a driver. It is required for individuals who have had their license suspended due to certain violations, ensuring they have the necessary insurance coverage, akin to the insurance verification in the HSMV 83330.

Dos and Don'ts

When filling out the Florida HSMV 83330 form, it is essential to be careful and thorough. Here are four important dos and don'ts to keep in mind:

  • Do provide accurate information about your insurance coverage.
  • Do ensure that the insurance company you list is licensed to operate in Florida.
  • Don't leave any sections blank; every part of the form needs to be completed.
  • Don't provide false information, as this can lead to serious legal consequences.

Misconceptions

Here are four common misconceptions about the Florida HSMV 83330 form:

  • It’s only for new vehicle registrations. Many people believe that the HSMV 83330 form is only necessary when registering a new vehicle. In reality, this form is required whenever you need to provide proof of insurance for any vehicle, whether it's new or a renewal.
  • Only the vehicle owner needs to sign the form. Some think that only the registered owner must sign the affidavit. However, any insured individual listed on the policy can certify the insurance coverage, making it more flexible for families or shared ownership situations.
  • Submitting the form guarantees insurance coverage. There’s a misconception that simply submitting the HSMV 83330 form guarantees that the insurance policy is active. The truth is, if the insurer denies that the policy is in force, the driver’s license and registration could be suspended.
  • It’s a one-time requirement. Many believe that once they submit the HSMV 83330 form, they won’t need to do it again. In fact, this form must be submitted every time you renew your registration or change your insurance provider.

Key takeaways

When filling out and using the Florida HSMV 83330 form, there are several important points to keep in mind. This form is essential for certifying your insurance coverage for vehicle registration in Florida. Here are some key takeaways:

  • Accurate Information is Crucial: Ensure that all information, including your name, insurance company details, and vehicle information, is accurate. Errors can lead to delays or complications.
  • Insurance Requirements: You must have Personal Injury Protection, Property Damage Liability, and, when applicable, Bodily Injury Liability insurance to complete this form.
  • Signature Required: The form must be signed by the insured individual, confirming that the information provided is true and correct.
  • Consequences of False Information: Providing false information can result in criminal charges. Florida law treats this as a serious offense.
  • Insurance Company Verification: The insurance company listed must be licensed to issue policies in Florida. Verify this to avoid issues.
  • Policy Information: Include your policy number and the company code number (5 digits) accurately to ensure proper processing.
  • Registration Suspension: Be aware that if your insurance company denies coverage, your driver’s license and vehicle registration may be suspended.

Completing the HSMV 83330 form correctly is vital for maintaining your vehicle registration and ensuring compliance with Florida law. Take your time, double-check your entries, and consult with your insurance provider if you have any questions.