Florida Department of Highway Safety
& Motor Vehicles

This form:

Florida Insurance Affidavit

is available in pdf format, which must be viewed using Adobe Acrobat Reader. This software is available free through the Adobe web site.
Click here to download that software.

Retrieve Application form in pdf format

If you have any questions about completing the form, please contact Customer Service at 850/617-2000 or e-mail us.

Please let us know any problems you encounter.