Florida HSMV Form 84019: Mobile Home & RV Trust Fund Claim – If you purchased a mobile home or recreational vehicle (RV) in Florida and suffered financial losses due to a dealer’s or broker’s failure to fulfill contractual obligations, fraud, or other violations, you may be eligible for compensation through the state’s Mobile Home and Recreational Vehicle Protection Trust Fund. The official form used to apply for this relief is Florida HSMV Form 84019, titled “Application and Claim to Recover Compensation from the Mobile Home and Recreational Vehicle Trust Fund.”
This comprehensive guide explains what the form is, who can file, eligibility requirements under Florida law, required documentation, how to submit your claim, and important limitations. All information is based on official sources from the Florida Department of Highway Safety and Motor Vehicles (FLHSMV) and Florida Statutes Section 320.781.
What Is Florida HSMV Form 84019?
Form HSMV 84019 is the official application issued by the Florida Department of Highway Safety and Motor Vehicles, Division of Motorist Services. It allows eligible individuals to seek reimbursement from the Mobile Home and Recreational Vehicle Protection Trust Fund for unsatisfied judgments or certain unsatisfied claims against a licensed mobile home or recreational vehicle dealer or broker (and/or their surety).
The form was last revised in January 2011 (HSMV-84019 Rev. 01/11) and remains the current version available on the official FLHSMV website. The maximum amount payable from the Trust Fund is $25,000 per mobile home or recreational vehicle. This limit includes damages, restitution, amounts already recovered from a surety bond, and reasonable attorney’s fees.
Download the official form here: Florida HSMV Form 84019 PDF
Legal Basis: Florida Statutes Section 320.781
The Mobile Home and Recreational Vehicle Protection Trust Fund is established and governed by Florida Statutes § 320.781. The fund is administered by the Department of Highway Safety and Motor Vehicles and is financed primarily through:
- A $1 fee collected on each new mobile home and new recreational vehicle title transaction
- A $40 annual fee on dealer and manufacturer licenses and renewals
The Trust Fund may be used to satisfy judgments or claims arising from causes of action directly related to written contracts for the sale, exchange, or improvement of a mobile home or recreational vehicle, or for violations of Chapter 319 or Chapter 320 of the Florida Statutes. Importantly, the fund does not cover pure tort claims (except as expressly allowed), punitive damages, exemplary damages, double damages, or treble damages.
Claims related to transactions occurring before July 1, 2006, are not eligible.
Who Is Eligible to File Form 84019?
To qualify for compensation from the Trust Fund, a claimant must meet specific conditions outlined in § 320.781(5):
- You have obtained a final judgment that remains unsatisfied against the mobile home or recreational vehicle dealer/broker or its surety (jointly and severally), or against the dealer/broker only if the court determined the surety has no remaining liability due to prior payments exhausting the bond; or
- You are prohibited from pursuing a lawsuit because the dealer or broker has filed for bankruptcy and you have filed a claim in that bankruptcy proceeding; or
- The dealer or broker has closed the business and cannot be located within Florida; and
- You have also pursued claims against the surety where applicable (judgment unsatisfied, stayed/discharged in bankruptcy, or surety not liable because the bond was exhausted).
You cannot recover from the Trust Fund if you have already recovered an amount equal to or greater than your total loss from the surety bond.
Required Documentation for Form 84019
The form requires complete and accurate information. Incomplete applications cannot be processed. Supporting documents must be submitted with the application. The form has two main pathways: Unsatisfied Judgment or Bankruptcy.
For Unsatisfied Judgment Claims
You must generally provide:
- A certified copy of the final judgment (including itemized damages, determination of surety liability if applicable, costs, and attorney’s fees)
- Evidence that the judgment or judgment lien has been recorded with the clerk of court
- A copy of the purchase agreement or consignment agreement
- Documentation showing the judgment remains unsatisfied
- Proof of any amounts already recovered from the dealer, broker, or surety
- An attestation regarding assets of the judgment debtor that may still be available and a good-faith effort to collect
- An assignment of rights in the unsatisfied judgment and judgment lien to the Department (often using related form HSMV 84027 or equivalent language)
For Bankruptcy Claims
Required items typically include:
- Executed Assignment of Claim/Suit (Form HSMV 84026)
- Copy of the lawsuit pleadings against the dealer and/or surety
- Copy of the bankruptcy court order staying or discharging the proceedings (or the claim filed in bankruptcy)
- Documentation showing why the surety is not liable
- True copies of all purchase agreements, notices, service/repair orders, and related documents
- Detailed allegations of the acts or omissions causing the loss and the actual dollar amount of damages
All claims require a sworn statement under oath, notarized, affirming that the information and documents submitted are true and correct.
How to Complete and Submit Form 84019?
Follow these steps carefully:
- Download the form from the official FLHSMV site: https://www.flhsmv.gov/pdf/forms/84019.pdf
- Type or legibly print all information (except signatures).
- Complete the claimant information section (name, address, telephone numbers, Social Security number).
- Provide detailed description of the unit (VIN, make, model/year, color, date of purchase or consignment).
- List dealer/broker information (name, license number, address) and surety company details (name, bond number, address). Confirm the correct surety bond was in effect at the time of the transaction.
- Complete either the Unsatisfied Judgment section or the Bankruptcy section and attach all required supporting documents.
- Sign the Statement Under Oath before a notary public.
- Mail the completed application and all supporting documents to:
Claims Administrator
Division of Motorist Services
2900 Apalachee Parkway, MS-55
Tallahassee, Florida 32399
There is no filing fee for Form 84019.
Processing Timeline and Payment
Under Florida law, the Department must issue a determination on the claim within 90 days after receiving a complete application and verified claim. The determination is not subject to Chapter 120 administrative procedures but may be reviewed by writ of certiorari in the circuit court of the county where the claimant resides.
If the claim is approved, payment must be made within 45 days after the determination (or within 45 days after any judicial review becomes final). Before receiving payment, the claimant must execute an assignment of all rights in the judgment or claim to the Department.
If the Trust Fund lacks sufficient funds at the time of approval, the Department logs the claim by date and time. Payment is made later on a first-determined, first-paid basis when funds become available. The Department and the Trust Fund are not liable if insufficient moneys exist.
Important Limitations and Warnings
- Maximum recovery is $25,000 per mobile home or recreational vehicle.
- Only actual damages, restitution, and reasonable attorney’s fees are covered—punitive or multiple damages are excluded.
- Claims arising from transactions before July 1, 2006, are ineligible.
- Filing a false statement or document is a second-degree misdemeanor under Florida law.
- The Department may pursue recovery from the dealer, broker, or surety of any amounts paid from the Trust Fund.
Related Official Forms
Depending on your situation, you may also need:
- HSMV 84026 – Assignment of Claim/Suit
- Related assignment forms for judgments (check current FLHSMV forms list)
Always verify the most current versions on the official FLHSMV Forms page.
Frequently Asked Questions
Is there a filing deadline for Form 84019?
Florida Statutes § 320.781 does not specify a strict statutory deadline for filing the Trust Fund claim itself after obtaining a judgment. However, general statutes of limitation and good practice require prompt action. Consult an attorney regarding any time limits applicable to your underlying claim or judgment.
Can I file if the dealer went out of business?
Yes, if the dealer closed and cannot be located within Florida, and other eligibility conditions are met.
What if my claim is denied?
You may seek judicial review by filing a petition for writ of certiorari in the circuit court of the county where you reside, following the Florida Rules of Appellate Procedure.
Where can I get official help?
Contact the FLHSMV Division of Motorist Services Claims Administrator or visit www.flhsmv.gov. For legal advice specific to your situation, consult a licensed Florida attorney experienced in consumer or dealer disputes.
Conclusion
Florida HSMV Form 84019 provides an important consumer protection mechanism for buyers of mobile homes and recreational vehicles who are left with unsatisfied judgments or claims against dealers or brokers. By carefully completing the form, attaching all required documentation, and submitting it to the Claims Administrator in Tallahassee, eligible claimants can seek up to $25,000 in compensation from the Mobile Home and Recreational Vehicle Protection Trust Fund.
Always use the official form and verify current requirements directly with the Florida Department of Highway Safety and Motor Vehicles. Download Form 84019 today and begin the process of recovering the compensation you may be entitled to under Florida law.