To submit this application, complete all sections accurately and gather the necessary supporting documents. Include a $12.00 filing fee via check or money order. Mail the form and documents to the nearest applicable office: Clearwater (4585 140th Ave N., Suite 1002, 33762), Jacksonville (7439 Wilson Blvd, 32210), Lauderdale Lakes (3718-3 W. Oakland Park Blvd, 33311), Miami (7795 W. Flagler Street, Suite 82C, 33144), Orlando (4101 Clarcona-Ocoee Rd, Suite 152, 32810), Pensacola (100 Stumpfield Road, 32503), Tallahassee (2900 Apalachee Pkwy, Room B154, 32399), Tampa (2814 East Hillsborough Ave, 33610). For questions, contact the respective office via provided email addresses. Ensure all information is correct to avoid processing delays.

Form HSMV 78306 has a revision date of 3/2024. Ensure your restricted license application is completed by this date for the latest requirements.

The purpose of this form is to allow individuals whose driver licenses have been suspended, revoked, or canceled to apply for reinstatement on a restricted basis. By completing the application and providing the necessary supporting documents, drivers can seek permission to drive for specific purposes such as maintaining livelihood, commuting to work, or educational needs. This ensures drivers have the opportunity to regain certain driving privileges while adhering to the legal requirements set by the Florida Department of Highway Safety and Motor Vehicles.

• 1. Full Name: Provide your First, Middle or Maiden, and Last Name.
• 2. Date of Birth: Enter your date of birth in the MM/DD/YYYY format.
• 3. Mailing Address: Include your Street, City, State, and Zip Code.
• 4. Driver License Number: State your Driver License Number and the issuing State.
• 5. Telephone Number: Enter your contact Telephone Number.
• 6. Email Address: Provide your Email Address for communication.
• 7. Application Questions: Answer all the detailed questions regarding the suspension, revocation, or cancellation of your driver license.
• 8. Items to Submit: Include a $12.00 filing fee, any written evidence, documents, or statements, and proof of enrollment or completion of a driver training or DUI school, if applicable.
• 9. Oath or Affirmation: Sign and date the form under oath or affirmation that the provided information is true and correct.
• 10. Witness Signature: A witness must sign and print their name, along with the date.
• 11. Office Addresses: Submit the completed application to the nearest applicable office, with the listed address and contact email for each location.

Failure to submit this form will result in the continuation of your driving privilege suspension or revocation. No restricted license will be granted until the form and all required documents are properly submitted.

• Continued Suspension: Your driver license will remain suspended or revoked without submitting this application.
• No Restricted Privileges: You will not be eligible for a restricted license without completing and submitting the form.
• Additional Penalties: Further action or penalties may be imposed for driving without proper reinstatement.

• 1. Suspended License: To apply for reinstatement of a suspended driver license.
• 2. Revoked License: To seek a restricted license after a revocation of driving privileges.
• 3. Cancelled License: To request reinstatement if your driver license has been canceled.
• 4. Work Purposes: To enable driving to and from work or for job-related purposes.
• 5. Education: To secure driving privileges for educational purposes.