Florida HSMV Form 90011S Accident Self Report Guide – If you were involved in a minor traffic crash in Florida that does not require a law enforcement investigation, you may need to file an official self-report using Florida HSMV Form 90011S (also known as the Driver Report of Traffic Crash or Accident Self Report). This form creates an official record with the Florida Department of Highway Safety and Motor Vehicles (FLHSMV) and helps protect your interests for insurance purposes.
This guide explains when the form is required, how to complete it correctly, submission options, legal deadlines, and where to download the official document. All information is based on current Florida Statutes and official FLHSMV guidance.
What Is Florida HSMV Form 90011S?
Form HSMV 90011S is the official “Driver Report of Traffic Crash (Self Report)” / “Driver Exchange of Information” form issued by the Florida Department of Highway Safety and Motor Vehicles. It serves two primary purposes:
- As a self-report when law enforcement does not investigate a crash that caused only vehicle or property damage.
- As a driver exchange-of-information form so parties can share essential details at the scene.
The current version is HSMV 90011S (rev. 11/2019). You can download the official form directly from the FLHSMV website here: Download Florida HSMV Form 90011S (PDF).
When Do You Need to File Form 90011S?
Under Florida Statute § 316.066(1)(e), the driver of any vehicle involved in a crash that results in damage to a vehicle or other property and that does not require a law enforcement report must submit a written report to FLHSMV within 10 days.
According to the official FLHSMV Traffic Crash Reports page, you must contact law enforcement immediately (and stay at the scene) if the crash involves any of the following:
- Injury or fatality
- Hit-and-run
- DUI (driving under the influence)
- A vehicle that requires a wrecker to be removed
- A commercial motor vehicle
- Apparent damage of at least $500
If none of these conditions apply and no officer investigates the crash, you are eligible (and required) to self-report using Form 90011S. Even a minor parking-lot scrape with visible damage falls under this requirement if law enforcement does not prepare a report.
Legal Deadline for Submitting the Accident Self Report
Florida law requires the written self-report to be submitted within 10 days after the crash. Failing to file the required report is a noncriminal traffic infraction punishable as a nonmoving violation under Chapter 318 of the Florida Statutes.
Keep a copy of the completed and signed form for your personal records and for any insurance claim. The FLHSMV strongly recommends this step.
How to Complete Florida HSMV Form 90011S?
The form is relatively straightforward but must be filled out accurately and completely. Key sections include:
- Crash details – Date, time, county, city, and exact location of the crash (street, intersection, or milepost).
- Vehicle information – Year, make, body type, license plate number, state, and VIN for each vehicle involved.
- Insurance information – Company name and policy number for each vehicle.
- Driver and owner details – Full name, address, driver license number, phone numbers, sex, and date of birth.
- Passengers and witnesses – Names and addresses of any passengers or witnesses.
- Signature and date – The driver making the report must sign and date the form at the bottom of the first page.
Instructions and a completed example appear on the reverse side of the official form. Use black or blue ink if printing and completing by hand, or fill it electronically if your PDF software allows.
For additional vehicles or parties, attach extra copies of the front page of the form.
How to Submit Form 90011S?
FLHSMV accepts the completed form in two ways:
1. Email (Recommended for Speed)
Email the signed form to: [email protected]
2. Mail
Send the original signed form to:
Florida Department of Highway Safety and Motor Vehicles
Crash Records / Self Report Crash Team
2900 Apalachee Parkway, MS 28
Tallahassee, FL 32399
Always retain a copy for your records and insurance company before submitting.
Why Filing the Self-Report Matters?
Even when a crash seems minor, an official record can be valuable for:
- Insurance claims and coverage verification
- Protecting yourself if the other party later disputes the facts
- Complying with Florida law and avoiding a traffic infraction
- Documenting the incident for future reference
Self-reports do not carry the same evidentiary weight as an officer-completed long-form crash report (HSMV 90010S), but they are far better than having no official record at all.
Official Sources and Additional Resources
- FLHSMV Traffic Crash Reports – Official guidance on when and how to report
- Download Form 90011S (PDF) – Official blank form with instructions
- Florida Statute § 316.066 – Written reports of crashes
- Florida Statute § 316.065 – Crashes; reports; penalties
Frequently Asked Questions
Do I still need to exchange information at the scene?
Yes. Florida law requires drivers to exchange name, address, vehicle registration, and (upon request) driver’s license information. Form 90011S can also be used for this purpose.
What if the other driver refuses to provide information?
Document everything you can (photos, license plate, description) and still file your self-report within 10 days. Consider contacting law enforcement if the situation escalates.
Can I file online through a portal?
Currently, self-reports are submitted by emailing or mailing the completed Form 90011S. Police-investigated reports are available for purchase through the Florida Crash Portal.
Is the $500 damage threshold still in effect?
Florida Statute § 316.065 still references apparent damage of at least $500 as a reason to notify law enforcement. For self-reporting eligibility, follow the criteria listed on the official FLHSMV page (no injury, no tow, no commercial vehicle, no DUI, no hit-and-run).
Final Tips for Florida Drivers
After any crash—even a minor one—take clear photos of vehicle damage, the scene, license plates, and any visible injuries or debris. Exchange information politely and thoroughly. If the crash meets the criteria for a police report, call 911 or local law enforcement right away. If it does not, download Form 90011S, complete it carefully within 10 days, and submit it promptly.
Staying informed and following Florida’s reporting rules helps protect your driving record, insurance eligibility, and legal rights.