Fill in a Valid Colorado Dr 2478 Template Access Your Colorado Dr 2478 Now

Fill in a Valid Colorado Dr 2478 Template

The Colorado DR 2478 form is a document used by individuals to request a statement of fact regarding their driver record from the Colorado Department of Revenue. This form collects essential information such as the requestor's name, date of birth, and driver’s license number. Completing this form accurately is crucial, as it certifies the truth of the provided information under penalty of perjury.

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Article Structure

The Colorado DR 2478 form is an essential document for individuals seeking to obtain a Driver Record Statement of Fact from the Colorado Department of Revenue's Division of Motor Vehicles. This form plays a crucial role in verifying personal information related to a driver's history, ensuring that the data provided is accurate and up-to-date. It requires the requestor to fill in key details such as their full name, date of birth, driver’s license number, and contact information, including address, phone number, and email. The form also includes a certification statement, where the individual must affirm that the information provided is true to the best of their knowledge, under penalty of perjury. Completing this form accurately is vital, as it not only facilitates the processing of the request but also helps maintain the integrity of driver records within the state. Timely submission of the DR 2478 can expedite the retrieval of important driving history information, which may be necessary for various legal or personal purposes.

Form Preview Example

DR 2478 (09/07/12)

COLORADO DEPARTMENT OF REVENUE DIVISION OF MOTOR VEHICLES DRIVER CONTROL

DENVER CO 80261-0016 (303) 205-5613

Driver Record

Statement of Fact

Requestor Information

Name: (First, Middle, Last)

 

Date of Birth

Driver’s License Number

DL State

 

 

 

 

 

 

Address

 

 

 

 

 

 

 

 

 

 

 

City

 

State

 

Zip Code

 

 

 

 

 

 

 

Telephone Number

Email Address

 

 

 

 

 

 

 

 

 

Statement

I certify under penalty of perjury in the second degree, that the above facts are true and correct to the best of my knowledge.

Signature

Date Signed

Form Properties

Fact Name Details
Form Title DR 2478 - Driver Record Statement of Fact
Governing Law Colorado Revised Statutes, Title 42, Article 2
Issuing Authority Colorado Department of Revenue, Division of Motor Vehicles
Purpose To request a driver record statement of fact.
Contact Information Phone: (303) 205-5613
Signature Requirement The requestor must sign and date the form.
Certification Requestor certifies that the information provided is true and correct under penalty of perjury.
Personal Information Requestor must provide name, date of birth, driver's license number, and contact details.
Form Version Version Date: 09/07/12
Submission Location Forms can be submitted to the Denver office at the address listed on the form.
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