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This version of the form is not currently in use and is provided for reference only. Download this version of
Form HSMV90011S
for the current year.
Form HSMV90011S Accident Self Report - Florida
What Is Form HSMV90011S?
This is a legal form that was released by the Florida Department of Highway Safety and Motor Vehicles - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form HSMV90011S?
A: Form HSMV90011S is an Accident Self Report form in Florida.
Q: What is the purpose of Form HSMV90011S?
A: The purpose of Form HSMV90011S is to allow individuals involved in a minor car accident in Florida to report the accident to the Department of Highway Safety and Motor Vehicles (DHSMV).
Q: Who needs to fill out Form HSMV90011S?
A: Form HSMV90011S needs to be filled out by individuals involved in a minor car accident in Florida, where there are no injuries or deaths, and the total property damage is less than $500.
Q: When should Form HSMV90011S be filled out?
A: Form HSMV90011S should be filled out within 10 days of the accident.
Q: What information should be provided in Form HSMV90011S?
A: Form HSMV90011S requires information such as the date, time, and location of the accident, details of the vehicles involved, names and contact information of the drivers and owners, and a description of the accident.
Q: Can Form HSMV90011S be used for major accidents or accidents with injuries?
A: No, Form HSMV90011S is only for minor accidents with no injuries or deaths and property damage less than $500. Major accidents or accidents with injuries should be reported to law enforcement immediately.
Q: What should I do after filling out Form HSMV90011S?
A: After filling out Form HSMV90011S, you should keep a copy for your records and send the original to the DHSMV within 10 days of the accident.
Q: Do I need to notify my insurance company after filling out Form HSMV90011S?
A: Yes, you should notify your insurance company about the accident even after filling out Form HSMV90011S.
Q: Are there any penalties for not filing Form HSMV90011S?
A: Failure to file Form HSMV90011S within 10 days of the accident may result in the suspension of your driver's license.
Form Details:
- Released on June 1, 2012;
- The latest edition provided by the Florida Department of Highway Safety and Motor Vehicles;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form HSMV90011S by clicking the link below or browse more documents and templates provided by the Florida Department of Highway Safety and Motor Vehicles.
Download Form HSMV90011S Accident Self Report - Florida
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