Florida Department of Highway Safety and Motor Vehicles · Florida state form
HSMV 96440 Power of Attorney and Affidavit of Authorized Agent
Florida IRP registrants and IFTA licensees use HSMV 96440 to authorize agents to handle listed account transactions and complete an agent affidavit.
- What this form is
- HSMV 96440 lets a Florida-based carrier with International Registration Plan or International Fuel Tax Agreement accounts authorize up to three individual agents. Part I identifies the principal and agents and grants specified authority; Part II is an affidavit completed by each authorized agent. The principal signs before two witnesses and a notary, and each agent’s signature must also be notarized. The Bureau requires the original signed and notarized form.
- Who needs it
- Florida-based IRP registrants or IFTA licensees who want to authorize individual agents to act for them on listed account matters need this form.
- Why it needs a notary
- The principal’s signature and each agent’s affidavit signature must be notarized. The principal also signs before two witnesses; this can be done online with a commissioned online notary.
- How to submit it
- Submit Parts I and II together, in person at an IRP walk-in office or by mail to the Bureau of Commercial Vehicle and Driver Services, 2900 Apalachee Parkway, Mail Stop 62, Tallahassee, FL 32399-0626.
Questions
Who uses HSMV 96440?
A Florida-based carrier with IRP or IFTA accounts uses this form when its registrant or licensee wants to authorize individual agents to handle specified account transactions.
Does HSMV 96440 need to be notarized?
Yes. The principal’s signature and each authorized agent’s affidavit signature must be notarized. The principal must also sign before two witnesses; a commissioned online notary can provide notarization online.
How do I submit HSMV 96440?
Submit Parts I and II together, either in person at an IRP walk-in office or by mail to the Bureau of Commercial Vehicle and Driver Services at the address listed in the instructions.