Form HSMV-BAR1001 Affidavit of Refusal to Submit to Breath and / or Urine Test - Florida

Form HSMV-BAR1001 Affidavit of Refusal to Submit to Breath and / or Urine Test - Florida

What Is Form HSMV-BAR1001?

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 HSMV-BAR1001?
A: Form HSMV-BAR1001 is the Affidavit of Refusal to Submit to Breath and/or Urine Test in Florida.

Q: What is the purpose of Form HSMV-BAR1001?
A: The purpose of Form HSMV-BAR1001 is to document a person's refusal to take a breath and/or urine test for alcohol or drugs when requested by law enforcement.

Q: Who is required to fill out Form HSMV-BAR1001?
A: Any person who refuses to submit to a breath and/or urine test in Florida is required to fill out Form HSMV-BAR1001.

Q: Is there a deadline for submitting Form HSMV-BAR1001?
A: Yes, Form HSMV-BAR1001 must be submitted within 10 days of the refusal to submit to the breath and/or urine test.

Q: What are the consequences of refusing to submit to a breath and/or urine test in Florida?
A: The consequences of refusing to submit to a breath and/or urine test in Florida may include the suspension of your driver's license and other penalties.

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Form Details:

  • Released on September 1, 2021;
  • 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 HSMV-BAR1001 by clicking the link below or browse more documents and templates provided by the Florida Department of Highway Safety and Motor Vehicles.

Download Form HSMV-BAR1001 Affidavit of Refusal to Submit to Breath and / or Urine Test - Florida

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