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 under the form’s stated requirements.
- What this form is
- HSMV Form 94010 collects requester and crash information and provides certifications for requesting a crash report. Section One is for eligible requesters seeking a report within 60 days of filing. Section Two covers requests made 60 days or later and asks the requester to select a permissible use under the Driver’s Privacy Protection Act. The form includes a sworn statement and a notary section.
- Who needs it
- People or entities requesting a crash report who must certify eligibility or a permissible use as described in the form.
- Why it needs a notary
- The Section One statement must be sworn or affirmed before a notary. This can be done online with a commissioned online notary.
- How to submit it
- Submit it to the Florida agency named on the form.
Questions
Does HSMV Form 94010 need to be notarized?
Yes. Section One includes a sworn or affirmed statement with a notary block. You can complete the notarization online with a commissioned online notary.
Who can request a crash report within 60 days of filing?
Section One lists eligible requesters, including crash parties, certain representatives, insurers, victim services programs, government agencies, and qualifying media organizations.
What does Section Two certify?
Section Two is for requests 60 days or later after filing. It asks the requester to select applicable permissible uses under the Driver’s Privacy Protection Act and certify eligibility.