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Obtaining a restricted driving privilege in Florida requires a clear understanding of the HSMV 72034 form, a vital document for individuals seeking eligibility review. This form is initiated by the Florida Department of Highway Safety & Motor Vehicle and serves a specific purpose: to evaluate one’s record for potential reinstatement of driving privileges under certain conditions. Drivers must provide personal details, including their full name, contact information, and driver license number, as part of the application process. Essential to this process is the acknowledgment of specific laws—primarily section 322.2615(1)(b)3 of the Florida Statutes—which guides the reinstatement based on prior violations. The form outlines significant suspension durations, such as six months for driving with an unlawful blood-alcohol level or up to a year for refusing testing. Additionally, applicants are responsible for a $25 filing fee and must enroll in DUI School to be eligible for reinstatement. It’s important to note that by accepting the reinstated privilege, drivers waive their right to a formal or informal review. These stipulations and the straightforward process help ensure that individuals can navigate the road to regaining their driving privileges effectively.

Hsmv 72034 Example

Florida Department of Highway Safety & Motor Vehicle

Bureau of Administrative Reviews

REQUEST FOR ELIGIBILITY REVIEW

Driver’s Full Name

 

 

 

 

Telephone Number (

)

 

 

 

 

First

Middle or Maiden

Last

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

Street

 

 

City

 

 

State

Zip Code

Driver License Number

 

 

State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I

 

 

 

hereby request a review of my record for the purpose of determining my eligibility for

immediate reinstatement of my driving privilege on a restricted basis as provided in section 322.2615(1)(b)3, Florida Statutes. I understand the restriction is for Business Purposes Only as defined in section 322.271, Florida Statutes and I must pay a $25.00 filing fee, pursuant to section 322.21(9)(a).

I understand that the restricted license will be for the duration of the suspension period imposed under section 322.2615 Florida, Statutes, unless subsequently revoked by the court, as follows:

Driving with an Unlawful Breath-Alcohol or Blood-Alcohol Level = 6 months suspension

Refusal to Submit to a Breath, Blood or Urine Test = 1 year suspension

Reinstatement of the driving privilege on a restricted basis as set forth herein is conditioned on statutory eligibility requirements, including but not limited to enrollment in DUI School.

WAIVER OF FORMAL AND/OR INFORMAL REVIEW

I also understand that acceptance of the reinstated driving privilege as provided in section 322.271(7)(c),

Florida Statutes is deemed a waiver of my right to a formal or informal review under section 322.2615, Florida Statutes.

Signature of Driver

 

Date

Witness Signature

Witness Printed Name

 

Date

Office Hours - Monday through Friday 8:00 a.m. to 5:00 p.m.

City

 

Address

Office Number

Fax Number

Clearwater

4585

140th Avenue North, Suite 1002

(727) 507-4405

(727) 507-4406

Jacksonville

7439

Wilson Boulevard

(904) 777-2132

(904) 777-2133

Lauderdale Lakes

3718-3 W. Oakland Park Blvd

(954) 677-5800

(954) 714-3550

 

 

 

 

 

Miami

7795

W. Flagler Street, Suite 82C

(305) 265-3001

(305) 265-3063

 

 

 

 

 

Orlando

4101

Clarcona-Ocoee Road, Suite 152

(407) 445-5581

(407) 445-5584

 

 

 

 

Pensacola

100 Stumpfield Road

(850) 494-5728

(850) 494-5837

Tallahassee

2900

Apalachee Parkway Room B-154

(850) 617-2449

(850) 617-5077

 

 

 

 

 

Tampa

2814

East Hillsborough Avenue

(813) 276-5795

(813) 231-0817

 

 

 

 

 

HSMV 72034 (12/2019)

Form Characteristics

Fact Name Detail
Form Title Request for Eligibility Review
Governing Law Section 322.2615(1)(b)3, Florida Statutes
Purpose of the Form To assess eligibility for immediate reinstatement of driving privileges on a restricted basis.
Filing Fee A $25.00 fee is required for submission, as stated in section 322.21(9)(a).
Restriction Type Reinstatement allows driving for Business Purposes Only, per section 322.271, Florida Statutes.
Suspension Duration - Unlawful Level 6 months for driving with an unlawful breath-alcohol or blood-alcohol level.
Suspension Duration - Refusal 1 year suspension for refusal to submit to required tests.
Eligibility Conditions Eligibility includes requirements like enrollment in DUI School.
Office Hours Open Monday through Friday, from 8:00 a.m. to 5:00 p.m.

Guidelines on Utilizing Hsmv 72034

Filling out the HSMV 72034 form involves several steps to ensure that you provide all necessary information accurately. This form is a request for eligibility review, which is an important step in reinstating your driving privilege. Make sure to have all required information ready before starting.

  1. Provide your full name: Enter your first name, middle name or maiden name, and last name in the designated fields.
  2. Enter your telephone number: Fill in your phone number, including the area code.
  3. Fill out your address: Provide your complete street address, city, state, and zip code.
  4. Input your driver license number: Write your driver license number in the appropriate space.
  5. Read the eligibility statement: Carefully review the statement regarding your request for reinstatement on a restricted basis. Make sure you understand the terms before proceeding.
  6. Sign the form: You must sign and date the form to confirm your request.
  7. Get a witness signature: Have a witness sign the document. The witness should also print their name and date it.
  8. Prepare the filing fee: Be ready to submit a $25.00 filing fee as noted in the form.
  9. Submit the form: Lastly, send the completed form to the appropriate office listed on the form based on your location.

What You Should Know About This Form

What is the HSMV 72034 form used for?

The HSMV 72034 form is a request for an eligibility review submitted to the Florida Department of Highway Safety and Motor Vehicles. This form allows individuals whose driving privileges have been suspended to request a review of their records to determine if they are eligible for reinstatement on a restricted basis. The restricted license typically permits driving for business purposes only during the suspension period.

Who is eligible to use the HSMV 72034 form?

Eligibility to use the HSMV 72034 form is generally for individuals whose driving privileges have been suspended under specific conditions, such as having an unlawful breath-alcohol or blood-alcohol level or refusing to submit to a breath, blood, or urine test. Applicants must meet statutory eligibility requirements, including enrollment in DUI School.

What is required to submit the HSMV 72034 form?

A completed HSMV 72034 form requires the driver's full name, contact number, address, and driver license number. A filing fee of $25.00 must also be included with the application, in accordance with Florida statutes. Furthermore, the applicant must understand that their eligibility for a restricted license is conditioned upon meeting all statutory requirements.

What type of restricted license can I obtain through this form?

The restricted license obtained through the HSMV 72034 form is typically limited to driving for business purposes only. This restriction allows individuals to drive specifically for employment-related activities while their full driving privileges remain suspended. The duration of the restricted license corresponds with the period of suspension outlined in the statutes.

What are the suspension durations under which this form is applicable?

The minimum suspension durations specified in the form are six months for driving with an unlawful breath-alcohol or blood-alcohol level and one year for refusing to submit to a breath, blood, or urine test. The actual duration of the restriction may vary depending on the specifics of the case.

Can I waive my right to a review after submitting this form?

Yes, by accepting the reinstated driving privilege as provided under Florida law, you are deemed to waive your right to a formal or informal review. This means that accepting the restricted license removes your option for an additional review regarding your eligibility status.

Where can I submit the HSMV 72034 form?

The completed HSMV 72034 form can be submitted to the appropriate office associated with your region in Florida. The addresses and contact numbers for various offices, including Clearwater, Jacksonville, Lauderdale Lakes, Miami, Orlando, Pensacola, Tallahassee, and Tampa, are available for your convenience.

What are the office hours for submitting the HSMV 72034 form?

Office hours for submitting the HSMV 72034 form are Monday through Friday, from 8:00 a.m. to 5:00 p.m. Ensure you visit or contact the appropriate local office during these hours to facilitate your request efficiently.

Common mistakes

Filling out the HSMV 72034 form incorrectly can hinder the reinstatement process of driving privileges. One common mistake is failing to provide complete and accurate information. When individuals neglect to include their full name or provide an incorrect driver license number, it can lead to delays in the review process. Accurate details are essential for the Department of Highway Safety and Motor Vehicles to identify records quickly.

Another frequent error involves not signing the form. The signature is a crucial component because it certifies that the applicant has reviewed the eligibility criteria and understands the ramifications of the reinstatement. Omitting the signature can result in outright rejection of the request, leaving the applicant in a state of limbo regarding their driving status.

Many people also misinterpret the fee requirements. The form states a filing fee of $25.00, yet some applicants either forget to include payment or assume the fee is waived. This misunderstanding can stall the processing of their eligibility review. Ensuring the proper payment is included is vital for moving forward.

Additionally, failing to keep track of deadlines can often lead to missed opportunities. Each applicant has a specific time frame within which to submit the form following a suspension. Missing this window can prevent eligibility for reinstatement, which may lead to additional penalties or extended suspension periods.

Some individuals do not fully understand the types of restrictions that may be placed on their driving privileges. The form clearly outlines that the restricted license is for business purposes only. Not adhering to this restriction can result in further legal consequences, exacerbating the original issue.

Lastly, applicants often neglect to provide contact information where they can be reached. Including a valid telephone number ensures that the office can reach the individual if there are questions or if further information is needed. Insufficient contact information can prolong the review process and complicate communication between the applicant and the department.

Documents used along the form

When dealing with the Hsmv 72034 form, various additional forms and documents may be required or useful. Each plays a role in ensuring a smooth process for those seeking to reinstate their driving privileges following a suspension. Familiarity with these documents can make navigating the reinstatement process more manageable.

  • Florida Driver License Application (HSMV 74000): This form is necessary for individuals applying for a new driver’s license or renewing an existing one. It gathers personal information and verifies identification.
  • DUI School Completion Certificate: This certificate proves that an individual has completed a state-approved DUI program, which is often a requirement for reinstatement following a DUI suspension.
  • Form HSMV 78042: Driving Record Request: This document allows individuals to request their official driving record from the Florida Department of Highway Safety and Motor Vehicles. It provides necessary information on current license status and any past violations.
  • Proof of Enrollment in Alcohol or Drug Education Program: Evidence of enrollment in such a program may be required after certain offenses. This can be a significant factor in qualifying for a restricted license.
  • Financial Responsibility Insurance Certificate (Form FR-44): Following specific infractions, this certificate demonstrates that an individual has met Florida’s insurance requirements under the law.
  • Traffic Violation Payment Receipt: Proof of payment for any outstanding traffic violations may be needed to proceed with the reinstatement process. It shows compliance with financial obligations imposed by the court.
  • Affidavit of Compliance: This document verifies that the individual has met all legal requirements and obligations for reinstatement, serving as a formal declaration of readiness.
  • Judicial Orders or Court Decisions: Any court-issued paperwork regarding driving privileges should be submitted. This includes orders of suspension or conditions that must be acknowledged during the reinstatement process.

Understanding these forms and documents is crucial for anyone looking to navigate the complexities of driving privilege reinstatement in Florida. Proper preparation can lead to a more efficient process and a better chance of obtaining a restricted license.

Similar forms

The HSMV 72034 form, designed for requesting an eligibility review for the reinstatement of driving privileges in Florida, shares similarities with several other important documents used in the realm of driving records and license reinstatement. Below are eight documents that closely relate to the HSMV 72034, along with an explanation of how they are similar.

  • HSMV 72030: This form requests a hardship license for individuals whose driving privileges have been suspended. Like the HSMV 72034, it acknowledges a need to assess the individual's eligibility under specific statutory conditions, aimed at providing limited driving privileges.
  • HSMV 72032: This document serves as an application for a restricted license for employment purposes. It parallels the HSMV 72034 in its goal of reinstating driving privileges under particular restrictions while emphasizing the importance of a legitimate purpose for driving.
  • HSMV 78000: An application for a DUI reinstatement, the HSMV 78000 requires proof of completion of DUI school. Much like the HSMV 72034, it focuses on enabling individuals to regain limited driving rights after DUI-related offenses.
  • HSMV 72036: This form facilitates the application for a temporary driving permit during the license suspension period. Similarly, it addresses the need for driving privileges in specific limited contexts, paralleling the restricted nature of requests made in the HSMV 72034.
  • HSMV 78402: Known as the Application for Abbreviated Hearing, this form is relevant for those seeking a hearing to contest suspension or revocation. Its primary purpose aligns with the eligibility review aspect of HSMV 72034, focusing on reinstatement opportunities.
  • HSMV 72029: This document is related to the application for a Class E license for those who have completed a substance abuse course. Similar to the HSMV 72034, it supports the idea of meeting certain criteria to achieve a reinstated status.
  • HSMV 72031: This form is used for requesting reinstatement of a driving privilege after a suspension due to child support noncompliance. It likewise includes an evaluation of eligibility, underscoring the essential nature of compliance for reinstatement.
  • HSMV 78012: This is a petition for a waiver or exemption from certain statutory requirements. Like the HSMV 72034, it establishes a process through which individuals can seek to regain certain rights under specified conditions and with particular considerations.

Understanding these similar documents can clarify the process of reinstating driving privileges. Each document serves a specific purpose while ultimately aiming to support individuals in navigating their driving-related challenges.

Dos and Don'ts

When filling out the HSMV 72034 form, it is essential to approach the task with care. Below is a list of things you should and shouldn't do to ensure a smooth process.

  • Do read the entire form carefully before starting to fill it out.
  • Do provide your full name, including first, middle, and last names.
  • Do ensure your contact information is accurate, including your telephone number.
  • Do double-check your address for correct spelling and details.
  • Do include your Driver License Number as required.
  • Don’t leave any required fields blank, as this could delay processing.
  • Don’t use outdated information; make sure all details reflect your current status.
  • Don’t forget to sign and date the form as required.
  • Don’t neglect to include the $25.00 filing fee.
  • Don’t ignore the office hours when you plan to submit your form.

By following these guidelines, you can avoid common pitfalls and ensure that your request is processed efficiently.

Misconceptions

Misconceptions about the HSMV 72034 form often lead to confusion regarding the reinstatement of driving privileges in Florida. Here are four common misconceptions clarified:

  • Myth 1: The HSMV 72034 form guarantees immediate reinstatement.
  • This form does not guarantee reinstatement of driving privileges. It merely starts the process to determine eligibility for a restricted license, subject to specific criteria set forth in Florida Statutes.

  • Myth 2: A restricted license allows full driving privileges.
  • A restricted license permits driving only for business purposes, as defined by Florida law. The individual must comply with all regulations and restrictions tied to this limited license.

  • Myth 3: There are no fees associated with the HSMV 72034 form.
  • Submitting this form involves a filing fee of $25, which is essential to process the application. This fee must be paid to move forward with the review of driving eligibility.

  • Myth 4: Enrolling in DUI School is optional for reinstatement.
  • Enrollment in DUI School is a statutory requirement for individuals seeking reinstatement of their driving privileges on a restricted basis. Failing to comply with this requirement may result in denial of the request.

Key takeaways

Filling out the HSMV 72034 form is an essential step for individuals looking to have their driving privileges reinstated in Florida. Here are some key takeaways regarding this process:

  • Purpose of the Form: The HSMV 72034 form is a request for eligibility review to determine if you qualify for a restricted driving privilege.
  • Eligibility Requirements: To be eligible for a restricted license, you must meet certain statutory requirements, including enrollment in DUI School.
  • Filing Fee: A $25.00 filing fee is required when submitting the form. This fee is prescribed under section 322.21(9)(a), Florida Statutes.
  • Understand the Restrictions: The restricted license allows driving only for business purposes as defined in section 322.271 of the Florida Statutes.
  • Duration of Suspension: The driving privilege will remain restricted throughout the period of suspension, which varies based on the offense.
  • Waiver of Review: By accepting the reinstated driving privilege, you waive the right to further formal or informal review of your case.
  • Office Hours and Contact: The form must be submitted during office hours from Monday to Friday, 8:00 a.m. to 5:00 p.m. Ensure to have your contact information ready when you do so.