FLORIDA DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES

OFF-LINE ISSUANCE OF A PRE-PRINTED TEMPORARY LICENSE PLATE

Section 320.131(9) (b), Florida Statutes, allows for the issuance of a pre-printed temporary license plate. Pre-printed temporary license plates may only be used by an Electronic Temporary Registration (ETR) participating dealer during a system outage which prevents ETR issuance or by an issuing entity for a trailer weighing less than 2,000 pounds.

This is to certify that temporary license plate number __________________________was issued on _____________ to ___________________________________________________________ (Date) (Purchaser’s Name) (Purchaser’s Date of Birth) at ___________________________________________________________________________.

(Purchaser’s Address) The reason for the off-line issuance is _______________________________________________ ______________________________________________________________________________ Year Make/Manufacturer Body Type Weight of Trailer

Title Number Vehicle Identification Number

This is to certify that the above license plate was issued during a system outage or was issued for a trailer weighing less than 2,000 pounds. I understand that the issuance of this temporary license plate must be reported to the department within one business day of the issuance of the plate. _____________________________________________________________________________

(Dealership/Issuing Entity’s Name) _____________________________________________________________________________

(If applicable, current Dealer License Number, including suffix, if additional location)

_____________________________________________________________________________ (Printed Name of Dealer/Issuing Entity’s Authorized Representative)

_____________________________________________________________________________

(Signature of Dealer/Issuing Entity’s Authorized Representative)

DEALER: This completed form must be retained in your files for 5 years. A copy must be retained in the deal jacket.

ISSUING ENTITY: This completed form must be submitted to a tax collector’s office or

license plate agency within one business day of the issuance of the plate. A copy of this form should be retained for your records.

HSMV 82082 (Rev. 03/14)