Florida Department of Highway Safety and Motor Vehicles · Florida state form
HSMV-74036SP Release Agreement and Monthly Payment Note
Spanish-language form for a suspended driver and another party to document a release and monthly payment agreement following a crash.
- What this form is
- HSMV-74036SP records information about a suspended driver, the other party, crash-related property damage or bodily injury, the total amount, and payment terms. The form requires signatures from the suspended driver and the other party or representative. It states that all signatures must be notarized for the release to be complete and valid.
- Who needs it
- A suspended driver and the other party or their representative may use this form to document a crash-related release and payment agreement.
- Why it needs a notary
- The form says all signatures must be notarized and the release is void unless all signatures are notarized. This can be done online with a commissioned online notary.
- How to submit it
- The instructions say to send copies to each releasor by certified mail with return receipt requested. If signed and returned, take the form with the original SR22 to a local Driver License office or mail them to the address printed on the form.
Questions
What is HSMV-74036SP used for?
It documents a release and monthly payment agreement between a suspended driver and another party regarding disputed claims for crash-related property damage or bodily injury.
Does HSMV-74036SP need to be notarized?
Yes. The form says all signatures must be notarized and that the release is void unless all signatures are notarized. Online notarization is available with a commissioned online notary.
How does the form say to submit it?
The instructions say to send copies to each releasor by certified mail with return receipt requested. If a releasor signs and returns the form, take it with the original SR22 to a local Driver License office or mail them to the address printed on the form.