Florida Department of Highway Safety and Motor Vehicles · Florida state form
HSMV 71120 Residential Address Certification
HSMV 71120 certifies a Florida applicant’s residential address when another person’s documents are used to support an application for a Class E driver license or identification card.
- What this form is
- This form records the applicant’s residential address and the certifier’s statement that the applicant lives at that address. The certifier lists approved documents showing the residence and must sign the certification. The form states that the certifier’s signature must be notarized or witnessed by issuance personnel when the applicant uses that person’s residential address documents.
- Who needs it
- Florida Class E driver license or identification card applicants who cannot provide two approved residential address documents in their own name may use this certification with a certifier’s documents.
- Why it needs a notary
- The certifier’s signature must be notarized or witnessed by issuance personnel. Online notarization is available with a commissioned online notary.
- How to submit it
- Submit the form at a local tax collector’s office or a driver license service center. Provide the required address documents and have the certifier’s signature notarized or witnessed by issuance personnel.
Questions
Who uses HSMV 71120?
A Florida Class E driver license or identification card applicant may use this form when unable to provide two approved residential address documents in their own name. A certifier provides documents showing the address.
Does the certifier’s signature need to be notarized?
Yes. The form says the certifier’s signature must be notarized or witnessed by issuance personnel when the applicant uses that person’s residential address documents. Online notarization is available with a commissioned online notary.
Where should I submit the completed form?
The form says to submit it at a local tax collector’s office or a driver license service center. It also requires the certifier’s address documents to support the residential address certification.