Florida Department of Highway Safety and Motor Vehicles · Florida state form
HSMV Form 94010 Crash Report Request
Use HSMV Form 94010 to request a crash report and certify your eligibility or permissible use. The form includes a notarized statement for requests within 60 days.
- What this form is
- HSMV Form 94010 collects requester and crash information and provides two certification sections. For reports requested within 60 days of filing, eligible requesters complete a sworn statement about their eligibility and intended use. For reports requested 60 days or later, requesters select applicable permissible uses and certify their eligibility and compliance with resale and redisclosure requirements.
- Who needs it
- People or entities requesting a crash report, including those seeking a report within 60 days of filing or certifying a later permissible use.
- Why it needs a notary
- The within-60-days sworn statement requires notarization; you can complete it online with a commissioned online notary.
- How to submit it
- Submit it to the Florida agency named on the form.
Questions
What is HSMV Form 94010 used for?
It is used to request a crash report and certify eligibility or a permissible use. The form has separate sections for requests within 60 days of filing and requests made 60 days or later.
Does HSMV Form 94010 need to be notarized?
The sworn statement for obtaining a crash report within 60 days includes a notary section and must be notarized. This can be done online with a commissioned online notary.
What information does the form ask for?
The form requests requester and crash details. Depending on when the report is requested, it also asks the requester to identify their eligibility or select applicable permissible uses and certify compliance.