What Is Florida HSMV Form 71120?
Form HSMV 71120 is the official Certification of Address used by the Florida Department of Highway Safety and Motor Vehicles. It is specifically designed for applicants seeking a Class E driver license or Florida identification card who cannot produce two acceptable residential address documents in their own name.
Under Sections 322.051 and 322.08 of the Florida Statutes, applicants must prove they live at a Florida residential address (PO Boxes are not accepted). When the required documents are in someone else’s name, Form 71120 serves as a sworn statement that the applicant resides at the certifier’s address.
Important limitations:
- This form is only for Class E driver licenses and identification cards.
- It cannot be used for Commercial Learner’s Permits (CLP) or Commercial Driver Licenses (CDL).
- The form must be submitted to a local tax collector office or driver license service center.
Find your nearest office on the official FLHSMV office locator.
Who Needs to Use Form 71120?
You typically need Form 71120 if:
- You live with a parent, spouse, roommate, or other household member and do not have two proofs of address in your own name.
- You are a minor living with a parent or guardian (in some cases parents may simply provide documents in their name without the form).
- You are experiencing homelessness and have a letter from an authorized shelter or transitional housing provider.
- You are a new Florida resident or changing your address and lack sufficient documentation in your name.
Customers who already have two acceptable documents showing their name and Florida residential address do not need this form.
How to Complete Florida Form 71120 Step by Step?
The current version of the form (HSMV 71120 Rev. 12/24) has three main sections. Complete it carefully and legibly.
Section A – Applicant Information
The person applying for the Class E driver license or ID card must provide:
- Full name
- Complete residential street address (including city, state, and ZIP code)
- Signature and date certifying the information is true and correct
The applicant must understand that making a false statement is a crime under Florida law.
Section B – Certifier Information
The person whose name appears on the address documents (the certifier) must:
- Print their full name
- Certify that the applicant resides at the listed address
- Indicate the two allowable proof-of-residence documents they are providing
- Sign and date the form
The certifier must provide one household information document and one supporting document (details below).
Section C – Notary Public or Issuance Personnel Acknowledgment
The certifier’s signature must be either:
- Witnessed in person by issuance personnel at a tax collector or driver license service center, or
- Notarized by a Florida notary public
If the certifier is not present at the office, the form must be notarized before submission.
Required Supporting Documents for Form 71120
When using the Certification of Address, the certifier must supply two documents that show the residential address in the certifier’s name:
1. One household information document (to prove the certifier owns or leases the property):
- Deed or mortgage
- Property tax bill
- Recent monthly mortgage statement
- Rental or lease agreement
2. One supporting document with the residential address in the certifier’s name:
- Florida voter registration card
- Selective Service card
- Florida vehicle or vessel documentation
- Utility bills dated within the last 60 days (water, gas, electricity, telephone/cell, cable, etc.)
- Financial statement dated within the last 60 days (bank, credit card, or investment account)
- Professional license issued by a U.S. government agency
- Employer documentation dated within the last 60 days (paycheck stub, W-2 form)
- Homeowner’s or automobile insurance policy or bill dated within the last 60 days
- Documents issued by Federal, State, County, or City government agencies dated within the last 60 days
- FDLE Registration form completed by the local sheriff’s department or Department of Corrections (for certain registrants)
Note: Some local offices and older guidance referenced 30-day windows for certain documents. Always check the most current version of Form 71120 and confirm with your local office, as requirements can be updated.
Special Situations
Minors: Parents or legal guardians may often provide two proofs of address in their own name along with proof of relationship. In many cases the Certification of Address form is not required for minors living with a parent/guardian.
Homeless applicants: A letter from an authorized homeless shelter, transitional service provider, or halfway house (dated within the last 60 days) verifying residence at the agency’s address, combined with Section A of Form 71120 completed by the applicant, is typically accepted.
Sexual offenders/predators/career offenders: Specific documentation including the FDLE registration form may be required along with Section A of the form.
Where and How to Submit Form 71120?
Submit the completed and signed Form 71120 (with the required supporting documents) in person at:
- Your local county tax collector office, or
- A Florida driver license service center
Locate offices using the official FLHSMV office finder. Appointments are often recommended or required—check your county’s tax collector website for scheduling information.
Bring original or acceptable copies of the supporting documents. Printouts and faxes are generally accepted for many address proofs, but confirm with the office.
Important Warnings and Tips for Success
- False statements on the form are a crime under Florida law.
- The address must be a physical residential address in Florida—PO Boxes are not accepted.
- All documents must show the same residential address.
- Form 71120 is free; there is no fee to download or use the form itself (standard driver license/ID fees still apply).
- A Spanish version (Form 71120SP) is also available from FLHSMV if needed.
- For the most current requirements, always refer to the official form and the FLHSMV “What to Bring” page for U.S. citizens (or the corresponding non-immigrant page).
Download the Official Florida HSMV Form 71120
Get the current English version of the form directly from the Florida Department of Highway Safety and Motor Vehicles:
Download HSMV Form 71120 – Certification of Address (PDF)
Print the form, complete it accurately, gather the required documents, and take everything to your local tax collector or driver license office. Completing Form 71120 correctly helps ensure a smoother application process for your Florida Class E driver license or identification card.