Form HSMV 72862. Worthless Check Clearance - Florida

Form HSMV 72862. Worthless Check Clearance - Florida

The Form HSMV 72862, known as the Worthless Check Clearance form, is used in Florida to resolve outstanding issues related to bounced or worthless checks issued for payment of motor vehicle-related fees. Its purpose is to facilitate the clearance of these checks and ensure that the appropriate payment is made.

This form typically consists of sections that require accurate completion, including personal information of the check issuer, details about the bounced check, such as the date, amount, and reason for the insufficient funds, and a declaration of intent to pay the outstanding amount. It may also include fields for additional documentation or explanation.

When filling out this form, it is important to provide accurate information regarding the bounced check, including the date, amount, and reason for the insufficient funds. The check issuer should acknowledge their responsibility to pay the outstanding amount and ensure that they have sufficient funds to cover the payment.

This form is used when an individual has issued a check for motor vehicle-related fees that subsequently bounced due to insufficient funds. By submitting the Worthless Check Clearance form, the individual acknowledges their financial obligation and intends to rectify the situation by making the necessary payment.

An alternative form related to fees could be a payment receipt or a payment authorization form, which facilitates the submission of valid payments for motor vehicle-related transactions. However, the Worthless Check Clearance form specifically addresses situations where a check has bounced due to insufficient funds.