Application for Front End License Plates
Applying for front end license plates in the State of Florida requires the accurate completion of the following application form.
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FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
APPLICATION FOR FRONT END LICENSE PLATES
MAIL TO:
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
2900 APALACHEE PARKWAY, MS# 72 TALLAHASSEE, FLORIDA 32399
Fees:
$8.20 (includes $5.00 license plate fee and $3.20 license plate mail fee
).
Name (print or type) ______________________________________________________________
(First Name) (Middle Name) (Last Name)
Street Address __________________________________________________________________
______________________________________________________________________________
(City) (State) ( Zip Code)
______________________________________________________________________________
(Florida Driver’s License Number) (Da\
te of Birth) (Sex)
Owner’s E-mail Address: __________________________________________________________
I am requesting the following "front end" license plate, as indicated:
Emergency Medical Services (Certified Emergency Medical Technician or Certified
Paramedic):
A copy of your certification as provided in Florida Statutes 401 must be submitted with this
application.
Firefighter: A letter from your supervisor must be submitted wi th this application stating you are currently a
member of the fire department who actively engages in fire fighting.
Law Enforcement Officer:
A letter from your supervisor must be submitted wi th this application stating you are currently an
active law enforcement officer as specified in Florida Statute 943.
Emergency Management Personnel:
A letter from your supervisor must be submitted with this application stating you are currently an
active emergency management personnel of the civil defense as specified in Florida Statutes 252.
I understand that if I become disassociated from the service or organization for which the special motor
vehicle license plate was issued, I must return the license plate within 10 days from the date of
disassociation. I also understand that any person who violates the provisions of this act by willfully or
fraudulently obtaining a special motor vehi cle license plate pursuant to Florida
Statute 320.0898 is guilty of a misdemeanor of the second degree, punishable as provided in
Florida Statutes 775.082 or 775.083.
Applicant’s Signature ________________________________________________________________
www.flhsmv.gov
HSMV
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