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Get FL HSMV 85041 2014-2021

NOTE A change to your physical address requires issuance of a new cab card. Please enclose 3. 25 per vehicle. MAIL COMPLETED FORM AND ANY OTHER ENCLOSURES TO Bureau of Commercial Vehicle and Driver Services Neil Kirkman Building MS 62 2900 Apalachee Parkway Tallahassee FL 32399-0626 Telephone 850 617-3711 FAX 850 617-3931 www. flhsmv.gov OUR MISSION PROVIDING HIGHWAY SAFETY AND SECURITY THROUGH EXCELLENCE IN SERVICE EDUCATION AND ENFORCEMENT A SAFER FLORIDA HSMV 85041 Rev. 12/14. Copy of a document indication your company is a Florida corporation or is registered to conduct business as a foreign corporation in Florida. Copy of a vehicle title or registration for a vehicle titled in Florida in your name. NOTE A change to your physical address requires issuance of a new cab card. Please enclose 3. 25 per vehicle. MAIL COMPLETED FORM AND ANY OTHER ENCLOSURES TO Bureau of Commercial Vehicle and Driver Services Neil Kirkman Building MS 62 2900 Apalachee Parkway Tallahassee FL 32399-0626 Telephone 850 617-3711 FAX 850 617-3931 www. CHANGE OF ADDRESS and CONTACT INFORMATION ACCOUNT NAME Please check one or both and provide the account number s IRP ACCOUNT IFTA ACCOUNT OLD ADDRESS INFORMATION Physical Mailing Telephone Number NEW ADDRESS and CONTACT INFORMATION Name of New Contact if applicable Change or Cancel Power of Attorney YES NO New Power of Attorney is Enclosed YES N/A PROOF OF RESIDENCY To change your physical address you must include three items from the following list with this completed form. Signature TitleDate Current copy of a Florida driver s license in your name. Copy of a document indication your company is a Florida corporation or is registered to conduct business as a foreign corporation in Florida* Copy of a vehicle title or registration for a vehicle titled in Florida in your name. NOTE A change to your physical address requires issuance of a new cab card. Please enclose 3. 25 per vehicle. MAIL COMPLETED FORM AND ANY OTHER ENCLOSURES TO Bureau of Commercial Vehicle and Driver Services Neil Kirkman Building MS 62 2900 Apalachee Parkway Tallahassee FL 32399-0626 Telephone 850 617-3711 FAX 850 617-3931 www. flhsmv*gov OUR MISSION PROVIDING HIGHWAY SAFETY AND SECURITY THROUGH EXCELLENCE IN SERVICE EDUCATION AND ENFORCEMENT A SAFER FLORIDA HSMV 85041 Rev* 12/14. Copy of a document indication your company is a Florida corporation or is registered to conduct business as a foreign corporation in Florida* Copy of a vehicle title or registration for a vehicle titled in Florida in your name. NOTE A change to your physical address requires issuance of a new cab card. Please enclose 3. 25 per vehicle. MAIL COMPLETED FORM AND ANY OTHER ENCLOSURES TO Bureau of Commercial Vehicle and Driver Services Neil Kirkman Building MS 62 2900 Apalachee Parkway Tallahassee FL 32399-0626 Telephone 850 617-3711 FAX 850 617-3931 www. flhsmv*gov OUR MISSION PROVIDING HIGHWAY SAFETY AND SECURITY THROUGH EXCELLENCE IN SERVICE EDUCATION AND ENFORCEMENT A SAFER FLORIDA HSMV 85041 Rev* 12/14. .

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