Application for U.S. Reserve or Florida National Guard License Plate

If you want to apply for a National Guard or US Reserve license plates in the State of Florida, you have to use the following application form. Complete the form and submit it along with any supporting documents that might be required.

Extracted Text for Proper Search

FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES 
 	
APPLICATION FOR U.S. RESERVE OR FLORIDA NATIONAL GUARD LICENSE PLATE 	
 	
SUBMIT APPLICATION TO YOUR LOCAL COUNTY TAX COLLECTOR'S OFFICE OR LICENSE PLATE AGENCY 	
www.flhsmv.gov/offices	 	 	
See Reverse Side of this form for Provisions of Law and Instructions	 
 	
 	
 
1. I, ____________________________________________ hereby certify that I am a legal resident of Florida, residing at  
 
______________________________________________________________________________________________________
(Address)      (City)    (State)   (Zip) 
 
and I am the registered owner of the following described motor vehicle: 
 
YEAR  _________          MAKE  _________________________          CURRENT LICENSE PLATE NUMBER  ________________________ 
 
TITLE NUMBER _____________________  VEHICLE IDENTIFICATION NUMBER _____________________________________________ 
 
OWNER/LESSEE'S:  DATE OF BIRTH  _________________  SEX ____ OWNER/LESSEE'S DL NUMBER ___________________________ 
 
OWNER/LESSEE’S EMAIL ADDRESS: ________________________________________________________________________________	 	 
 
2. This is to certify that I, ___________________________________________________, am an active/retired member of the 
U.S. Reserve or Florida National Guard who is applying for the following as indicated:	
 	
 	
 U.S. Reserve License Plate 	
 
 	Florida National Guard License Plate (Choose from the following): 	 	
NOTE:	   An active Florida National Guard may be issued ONE FREE license plate/registration each year.  However,	 
   any Initial Registration, specialty and/or personalized fees would still apply, when applicable.	
 	
 
A. 	 One Free	 Original Florida National Guard License Plate/Registration for Active Florida National Guard Member. 	
 
B. 	 One Free	 Original Regular/Specialty/Personalized License Plate/Registration for Active Florida National Guard Member in lieu of a  
National Guard plate. 	
 	
C. 	 Free	 Annual Renewal of my current Florida National Guard/Regular/Specialty/Personalized License Plate (active Florida National Guard member). 	
 
D. 	 Retired OR Active Member of the Florida National Guard applying for an Original National Guard License Plate (not exempt from fees	). 	
 
E. 	  Active Member of the Florida National Guard renewing their National Guard License Plate (not exempt from fees	). 	
 	
_____________________________________________________________ 
Signature of the member for the above indicated license plate 
 
A RETIRED MEMBER MUST SIGN ABOVE AND PROVIDE PROOF OF THEIR RETIREMENT (This proof is only needed when an original is being applied for). 
 
AN ACTIVE MEMBER MUST SIGN ABOVE AND ALSO HAVE THE FOLLOWING STATEMENT SIGNED BY THEIR FIRST SERGEANT OR COMMANDING OFFICER	
: 	
 	
This is to certify that ________________________________________________ is an active member of the U.S. Reserve or Florida National 
Guard 
 
___________________________________________________________________    ____________________________________________ 
Signature of the First Sergeant OR	
 Signature & Rank of Commanding Officer      Telephone Number of Sergeant/Commanding Officer	 	
 
HSMV 83030 - 09/19/12       www.flhsmv.gov

PROVISIONS OF LAW:	 
 	
Section 320.0846, Florida Statutes, provides that any owner or lessee of a motor vehicle who resides in this 
state and is an active member of the Florida National Guard may, upon application and proof of eligibility, be 
issued one standard license plate without charge. Applications for any additional license plates must be 
accompanied by appropriate fees.  Eligible applicants of the Florida National Guard may apply for a specialty 
license plate as provided in s. 320.08056	
 upon payment of the fees required in that section.  All other fees will 
be waived.  Applications for any additional specialty/personalized license plates must be accompanied by all 
appropriate fees established in this chapter. The Initial Registration fee, if applicable, is not waived. 
Section 320.089, Florida Statutes, provides that the license plates specified on the reverse side of this form 
may only be issued to the following types of vehicles: 	
 	
    Automobiles (private or lease). 
    Trucks for private use (weighing 7,999 pounds or less). 
  Motor homes or truck campers which are NOT "for hire" or "commercial" use. 	
 
INSTRUCTIONS:	
 
   	
The reverse side of this form must be completed when requesting a US Reserve or a Florida National Guard 
License Plate.	 	 
The following information will help you to choose the correct box for the Florida National Guard 
License Plate in section 2 on the reverse side of this form: 
 
NOTE	:   An active Florida National Guard may be issued ONE FREE license plate/registration each 	
year; however, any specialty and personalized fees would still apply, if applicable.	 	
 
Box A: When an active Florida National Guard member is applying for a free original Florida National 
Guard license plate and registration. 
 
Box B:  When an active Florida National Guard member is applying for a free original 
regular/specialty/personalized (not National Guard plate) license plate and registration in lieu of a 
National Guard license plate.  If requesting a specialty or personalized plate, specialty or 
personalized fees would apply, if applicable. 
 
Box C:  When an active Florida National Guard member is requesting their annual renewal of their 
Florida National Guard, regular, specialty or personalized (specialty or personalized fees would 
apply, if applicable) license plate. 
 
Box D:  When a retired or active Florida National Guard member is applying for an original National 
Guard license plate that is not exempt from license plate and registration fees.  The retired 
member must also submit proof of their retirement, such as DD214, etc. 
 
Box E:  When an active Florida National Guard member is renewing their Florida National Guard license 
plate that is not exempt from registration fees (i.e., already received the free annual renewal for 
another license plate, additional plates, etc.).  A retired National Guard member is not required 
to submit this form for renewal of their Florida National Guard license plate; however, the 
member must submit proof of their retirement, such as DD214, etc. 
 
NOTE:   Multiple boxes may be checked, if applicable. 
 
Check your local phone book government pages or visit the following website for current mailing addresses:  www.flhsmv.gov/offices	 	 
 
 	
HSMV 83030 - 09/19/12         www.flhsmv.gov