Application for Vessel Duplicate Registration Replacement Decal and Change of Classification

Applying for a vessel duplicate registration and replacement decal requires the use of the following application form. This form can also be use to apply for changing the vessel’s class.

Extracted Text for Proper Search

DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES DIVISION OF MOTORIST SERVICES 	
SUBMIT THIS FORM TO YOUR LOCAL TAX COLLECTOR OFFICE  	www.flhsmv.gov/offices/	 	 	
APPLICATION FOR VESSEL DUPLICATE REGISTRATION, REPLACEMENT DECAL  
AND CHANGE OF CLASSIFICATION 	
(SEE APPLICATION INSTRUCTIONS ON REVERSE SIDE) 	 
(1)  TYPE OF REQUEST  
DATE:     	  TELEPHONE #       	 	 
I (We) hereby make application for the following: 	
□	 Duplicate Certificate of Registration       	□	 Replacement Decal       	□	 Change of Vessel Classification 	 
(2)      VESSEL INFORMATION                	 
 	
Make of Vessel        	 Hull Identification Number       	 	 
Model Year     	 Title #      	Reg. #     	 	 
Date of Current Registration    	  Previous Decal Issued        	 Decal Expires     	 	 (3)      CERTIFICATION 
A. 	□	  The current original certificate of registration to the above described vessel was:   	□ 	Lost     	□  	Defaced     	 
           □  	
Damaged     	□ 	Never Received    	 
B.  	
□	  The original decal to  the above vessel was:   	□ 	Lost     	□ Stolen     	□ 	Defaced     
   	
□ Damaged    	□ 	Never Received 	 
 	
C. 	□	  	I (We) hereby request that the use of my (our) vessel registered as FL/DO         	 
   be changed from: 	
     	□  	Commercial to Recreational Craft          	□ 	Recreational Craft to Commercial *      	 	 	
*Please circle one of the following to indica te the intended commercial use of the vessel: 	      	 	
  Blue Crab (BC)  Charter (CC)  Fish (CF)    Live Bait  (LB)  Mackerel (CM)    Other (OT)     Oyster (OY)  
  Shrimp (SH – Reciprocal, SN – Non-Reciprocal)       Spiny Lobster (CL)  Sponge (SP)   Stone Crab (SC)   	 	   NOTE:    See Item 3 & 4 under "Instructions to Apply for a Change of Class" on the reverse si de of this form for non-   	
    resident/alien commercial licensing requirements. 	
 
        	        	 	(NAME OF OWNER)      (NAME OF CO-OWNER)  
        	        	 	(OWNER DL NUMBER)      (DATE OF BIRTH)    (CO-OWNER DL NUMBER)      (DATE OF BIRTH)    
        	        	 	(ADDRESS)       (ADDRESS)  
        	        	 	(CITY)    (STATE)  (ZIP)  (CITY)    (STATE)    (ZIP)  (4)              ATTESTMENT 	 (CHECK WHEN APPLICABLE) 	
□ 	Decal was reported stolen to the:	   □ 	Police Department          or  	□ 	Sheriff's Office 	 I hereby certify under the penalty  of perjury that the decal for the vessel listed  in Section 2, is no longer or has never been in my 
possession for the reason checked in Section 3.  All information herein is true and correct to the best of my knowledge. 
 
                	
 	 (Owner/Co-Owner's Signature)        (Date)  Complete the following, if applicable:        	  was surrendered to the tax collector:      	        	 
   (Decal)       (County)    (Agency) 
 
                
 
         (Signature of Agency Personnel)   (Date) 	
 
 
 
 
 
 
 
 
HSMV  87015 (Rev. 07/11) S         www.flhsmv.gov