Florida HSMV Form 82052 Electronic Signature Agreement

Florida HSMV Form 82052 Electronic Signature Agreement – The Florida Department of Highway Safety and Motor Vehicles (FLHSMV) Form 82052, known as the Electronic Signature Agreement, plays a critical role in modern total-loss vehicle processing. Licensed insurance companies use this one-page form when submitting an electronically signed Power of Attorney (HSMV 82053) as part of an application for a salvage certificate of title or a certificate of destruction.

This guide explains exactly what Form 82052 is, who must use it, when it is required, how to complete it correctly, and where to download the official version. All information is based on current FLHSMV forms, procedures, and related statutes.

What Is Florida HSMV Form 82052?

Form HSMV 82052 is the official Electronic Signature Agreement issued by the Florida Department of Highway Safety and Motor Vehicles. A completed copy must accompany any electronically signed Power of Attorney (Form HSMV 82053) that a licensed insurance company submits when applying for either:

  • A salvage certificate of title, or
  • A certificate of destruction

The form confirms that the insurance company used an electronic signature process that meets National Highway Traffic Safety Administration (NHTSA) Rule 49 CFR 580 assurance Level 2 requirements. It also contains an indemnification clause protecting the Department and its employees from claims related to the validity of the electronic signature.

The current version of the form is dated December 2019 (HSMV 82052 – 12/2019).

Who Must Use Form 82052?

Only licensed insurance companies authorized to do business in Florida may use this form. It is not intended for individual vehicle owners, independent entities, or dealerships.

The form is required exclusively when the insurance company is applying for a salvage certificate of title or certificate of destruction and is relying on an electronically signed HSMV 82053 Power of Attorney from the insured owner.

When Is the Electronic Signature Agreement Required?

According to FLHSMV procedure TL-36 (Total Loss Settlements Involving Insurance Companies), Form 82052 is required in the following situation:

  • The insurance company is processing a total-loss settlement.
  • The original title is lost or unavailable.
  • The company obtains an electronically signed Power of Attorney (HSMV 82053) from the insured owner.
  • The company is applying for a certificate of destruction (or, in applicable cases, a salvage certificate of title).

The form is not needed for traditional wet-ink (handwritten) signatures or for transactions that do not involve an electronically signed Power of Attorney.

Key Requirements for Electronic Signatures

The insurance company must attest on Form 82052 that its electronic signature process complies with NHTSA Rule 49 CFR 580 for assurance Level 2. This standard applies to both certificates of destruction and salvage certificates of title when using electronic signatures on the related Power of Attorney.

In addition, the company must:

  • Maintain proof of the electronic signature.
  • Submit the electronic signature certification page along with the other transaction documents.
  • Ensure the process allows the insured to electronically sign and transmit Form HSMV 82053 in place of a handwritten signature and physical mailing.

How to Complete Florida HSMV Form 82052?

The form is straightforward and contains the following sections:

  • Purpose checkboxes – Indicate whether the agreement is for a Salvage Certificate of Title or a Certificate of Destruction.
  • Insurance company information – Full legal name, business address, city, state, and ZIP code.
  • Vehicle information – Name of the insured, vehicle make, year, VIN, and title number.
  • Attestation and indemnification language – Pre-printed statement confirming compliance with NHTSA requirements and agreeing to hold FLHSMV harmless.
  • Authorization section – Signature of the insurance company’s authorized agent, printed name, title, NAIC code, and date signed. The declaration is made under penalty of perjury.

All fields must be completed accurately. Incomplete or inaccurate forms can delay processing at the tax collector or license plate agency office.

Download the Official Florida HSMV Form 82052

Always download Form 82052 directly from the official Florida Department of Highway Safety and Motor Vehicles website to ensure you have the current version.

Download Official HSMV Form 82052 – Electronic Signature Agreement (PDF)

You can also find the form listed on the official FLHSMV Forms page under the Motor Vehicles section.

Related Forms and Procedures

Form 82052 is almost always used together with these documents:

Detailed processing instructions appear in FLHSMV Motor Vehicle Procedure Manual section TL-36, “Total Loss Settlements Involving Insurance Companies.”

Important Notes for Insurance Companies

  • The form may only be used by licensed insurance companies applying for salvage titles or certificates of destruction.
  • The electronic signature process must meet the specified NHTSA assurance level.
  • Companies are responsible for maintaining records of the electronic signature for audit and dispute purposes.
  • Submission typically occurs at a Florida tax collector or license plate agency office along with all other required documentation and applicable fees.

Frequently Asked Questions

Can individual vehicle owners use Form 82052?
No. The form is restricted to licensed insurance companies.

Is Form 82052 required for every electronic signature?
No. It is required only when an electronically signed Power of Attorney (HSMV 82053) is submitted with a salvage title or certificate of destruction application by an insurance company.

Where can I find the most current version?
Always download the form from the official FLHSMV website: https://www.flhsmv.gov/pdf/forms/82052.pdf.

Does the form need to be notarized?
No. The authorized agent signs under penalty of perjury; notarization is not required on Form 82052.

Conclusion

Florida HSMV Form 82052 – Electronic Signature Agreement enables licensed insurance companies to streamline total-loss processing by accepting electronically signed Powers of Attorney while maintaining compliance with state and federal requirements. Proper completion and submission of this form, along with supporting documents, helps ensure efficient issuance of salvage certificates of title or certificates of destruction.

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