Florida HSMV Form 77058 RCAP RiderCoach Application Guide

What Is Florida HSMV Form 77058?

HSMV Form 77058 is the official RiderCoach Apprentice Program Application (RCAP) used by the Florida Rider Training Program. It collects personal information, motorcycle riding experience, driving record details, criminal history disclosures, and health-related information from applicants who want to train as RiderCoaches.

The form is incorporated by reference in Florida Administrative Code Rule 15A-12.007. Prospective RiderCoaches must complete the RiderCoach Apprentice Program established by the Motorcycle Safety Foundation (MSF) before they can be employed by any FRTP Sponsor school.

You can download the official fillable PDF directly from the Florida Department of Highway Safety and Motor Vehicles:

Download Florida HSMV Form 77058 (RCAP Application) PDF

Who Needs to Complete the RiderCoach Apprentice Program Application?

Form 77058 is required for individuals who want to become Florida-recognized RiderCoaches under the FRTP. Typical candidates include:

• Experienced motorcycle riders with a current motorcycle endorsement
• Individuals who have recently completed the MSF Basic RiderCourse (BRC)
• Riders who have secured sponsorship from an approved FRTP course provider (Sponsor)
• Applicants seeking certification to teach the Basic RiderCourse and other MSF curricula in Florida

RiderCoaches trained outside Florida follow a different process using HSMV Form 77122, but new Florida applicants must start with the RCAP Application (Form 77058).

Steps to Become a Florida FRTP RiderCoach

According to the official FLHSMV guidance on becoming a RiderCoach, the process follows these steps:

1. Locate an approved safety course provider (Sponsor) near you using the official Safety Course Locations page.
2. Contact a Sponsor and obtain their agreement to sponsor you.
3. Complete the Basic RiderCourse (BRC) if you have not done so recently (a completion card dated within one year is required).
4. Obtain your driving history record.
5. Complete HSMV Form 77058 (RCAP Application) and submit it with supporting documents to the address listed on the form.
6. Once the application is approved, complete additional RCAP materials sent by FRTP.
7. Return the completed RCAP materials.
8. Attend and successfully complete a RiderCoach Preparation Course (RCP).
9. Receive MSF certification and an FRTP RiderCoach identification card.

After certification, new RiderCoaches typically complete an internship/mentoring period that includes team-teaching a minimum number of Basic RiderCourses under an experienced mentor.

Key Sections of HSMV Form 77058

The form is divided into clear sections. Understanding each part helps ensure accurate completion:

• Part A – Apprentice Data: Personal information including full name, address, county, birth date, Social Security number, Florida driver license number, employer, occupation, and contact details (home, cell, work, email, fax).
• Part B – Motorcycle Riding Experience: Questions about current motorcycle ownership/operation on public roadways, possession of a motorcycle endorsement, years of riding experience, annual mileage, and the date you completed the Basic RiderCourse.
• Part C – Driving Record, Criminal History and Health Issues: Yes/No questions regarding license suspensions or revocations, DUI convictions, misdemeanor or felony convictions, and any medical conditions that could hinder coaching ability. Explanations on a separate sheet are required for any “Yes” answers.
• Part D – Required Items: Lists mandatory supporting documents that must accompany the application.
• Part E – Agreement and Signatures: Statements and signature blocks for both the RiderCoach Apprentice and the Sponsor/Administrator. The Sponsor must screen the application and confirm its completeness.

Important notes on the form include a preference for RCP schedule format (three-weekend, seven-day, or no preference) and a clear statement that completion of the application does not guarantee acceptance.

Required Documents and Prerequisites for Form 77058

The form marks certain items with asterisks as required prerequisites for initial acceptance. Applicants (or their Sponsor) must provide:

• Completed original Form 77058 with original signatures
• A copy of the candidate’s most recent Basic RiderCourse completion card (dated within one year)
• A three-year driver license record check (Florida residents obtain this through FLHSMV; applicants licensed outside Florida in the past three years must obtain records from those states)
• Criminal history information (background check) via the Florida Department of Law Enforcement (FDLE) site at http://www.fdle.state.fl.us/CriminalHistory/

Both the Sponsor and the Apprentice should keep a copy of the completed application for their records.

Where to Submit the Completed RCAP Application?

Mail the completed original application with all required paperwork and original signatures to the address printed on the form:

FRTP / Ray Zurenda
4100 W. M.L. King Jr. Blvd.
Tampa, FL 33614

For questions, contact the Florida Rider Training Program office at (727) 365-9950 or email [email protected]. Note that contact details and mailing addresses can change; always verify the most current information on the official FLHSMV website or the form itself.

Important Rules for RiderCoach Apprentices

While participating in the program, apprentices must observe strict limitations. Providing any coaching tips or riding techniques during FRTP-sponsored training events is strictly forbidden and can result in immediate rejection of the application. Apprentices may only participate as observers, student riders, or range assistants until fully certified.

The application remains valid for one year from the date of acceptance into the FRTP RiderCoach Apprentice Program. Sponsors must notify FRTP promptly of any changes in the apprentice’s status.

Maintaining RiderCoach Certification After Approval

Once certified, RiderCoaches must meet ongoing requirements under Rule 15A-12.007 to maintain FRTP recognition:

• Successfully complete an automatic one-year probationary period
• Maintain national MSF Rider Course RiderCoach Certification
• Teach or team-teach a minimum of one complete Basic RiderCourse annually
• Attend one FRTP RiderCoach Update during each two-year certification period (updates may not be more than 30 months apart)

RiderCoaches must also adhere to the FRTP Rules of Professional Conduct.

Official Resources and Additional Forms

For the most accurate and up-to-date information, always refer to official Florida government sources:

• So You Want to Be a RiderCoach – Official FLHSMV Guide
• Motorcycle Rider Education Forms – FLHSMV
• Download HSMV Form 77058 (RCAP Application)
• Florida Administrative Code Chapter 15A-12 – Florida Rider Training Program
• Find FRTP Safety Course Locations (Sponsors)

Related forms that may be needed later in the process include the RiderCoach Intern Form (HSMV 77078), RiderCoach Mentor Form (HSMV 77079), and RiderCoach Personal Information & Qualifications Form (HSMV 77122).

Final Tips for a Successful Application

Double-check every section of Form 77058 for accuracy and completeness before submission. Provide clear explanations on a separate sheet for any affirmative answers in Part C. Work closely with your chosen Sponsor—they play a key role in screening the application and preparing you for the RCAP evaluation and RiderCoach Preparation Course.

Becoming a certified FRTP RiderCoach allows you to share your passion for motorcycling while promoting safer roads across Florida. Start by downloading the official form, contacting a local Sponsor, and completing the Basic RiderCourse if needed.