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Blank Colorado Dr 2489A PDF Form

The Colorado DR 2489A form is a vital document known as the Motor Vehicle Requestor Release Affidavit of Intended Use. This form allows individuals or agencies to request motor vehicle records, ensuring that the information is used for legitimate purposes in compliance with state and federal laws. Understanding how to properly complete and submit this form is essential for anyone needing access to vehicle records in Colorado.

The Colorado DR 2489A form, officially titled the Motor Vehicle Requestor Release Affidavit of Intended Use, serves a critical function in the realm of motor vehicle records. This form is essential for individuals and agencies seeking access to vehicle information, ensuring that such requests align with legal requirements and privacy protections. It allows for the release of motor vehicle records to authorized entities, including law enforcement, insurance companies, and repair facilities, provided they declare their intended use of the information. The form outlines the necessary steps for requesting records, whether by Vehicle Identification Number (VIN) or license plate number, and includes provisions for blanket releases related to abandoned vehicles. Additionally, it specifies the fees associated with various types of record searches, such as title histories and certified records, which are crucial for legal proceedings. The DR 2489A also emphasizes the importance of consent from the individual whose record is being requested, reinforcing the necessity of privacy and compliance with federal and state laws. By adhering to the guidelines set forth in this form, requestors can navigate the complexities of motor vehicle record access while maintaining the integrity of personal information.

Document Example

DR 2489A (07/05/17)

COLORADO DEPARTMENT OF REVENUE

Division of Motor Vehicles

Title and Registration Section

www.colorado.gov/dmv

Motor Vehicle Requestor Release

Affidavit of Intended Use

Records may be provided to a person in interest or a federal, state or local government agency carrying out its official functions, with a signed requestor release and affidavit of intended use. C.R.S 42-1-206, C.R.S. 42-4-1804, C.R.S.

42-6-115, C.R.S. 42-6-118 C.R.S. 24-72-204 (Driver Privacy Protection Act) 18 U.S.C.§ 2721 Prohibition on Release of Personal Information from State Motor Vehicle Records

Additional Information

Forms & Fees

A. Requesting a motor vehicle record (by VIN# or Plate#) Name Search

 

OR

 

B. Providing a blanket release for search activities related to the Abandoned Vehicle Process. This release is

required to be submitted annually along with a registration form for all tow or repair facilities and their agents, and law enforcement agencies and their agents who want to search vehicle information as a result of abandoned vehicle tows or vehicles abandoned at repair facilities.

Law Enforcement Officers: Badge # is acceptable in lieu of Driver’s License.

a. Law Enforcement agencies, Tow Carriers and Repair facilities wishing to participate in the abandoned

vehicle process are required to complete sections 1, 2, 3a, 4 and 5

All forms are available online at www.colorado.gov/dmv, at the Colorado State Motor Vehicle office, or at any county

motor vehicle office in Colorado

 

 

 

 

 

License plate searches are permitted with appropriate documentation for the following entities: vehicle owner, law

enforcement, insurance companies, attorney and investigative agencies.

 

 

 

 

A record search provides a printout of the current owner and lienholder information. A record

DR 2489A

search is used for the bond procedure, for court cases and to show proof if a record was issued

 

for registration purposes only. To obtain vehicle record search by "owner's name" you must

 

provide the full name and address of the person whom you are requesting information for.

$2.20/record

A fee of $2.20 is paid when submitting a request for a record search.

 

 

 

A title history provides a digital replication of the record of all documents submitted when titling

DR 2489A

a vehicle. Each title holder (owner) is a separate history. The record search printout is included

 

with this request.

 

 

 

A fee of $2.20 per history is paid when submitting a request for a record history.

 

$2.20/history

A certified record may be required for court cases.

 

DR 2489A

A fee of $0.50 per record or history is paid when submitting a request for certification of records

$0.50/record or history

or histories.

 

 

Abandoned Vehicle: If no Colorado record found, national database search required

 

DR 2489A

A fee of $2.20 is submitted when doing a National database search

 

$2.20/ record

To process by U.S.P.S. regular OR

By Fed-Ex or UPS, etc., mail to:

Walk-In Requests Only:

express mail, please mail to:

State of Colorado

Department of Revenue

State of Colorado

Department of Revenue

Vehicle Services Unit

Department of Revenue

1375 Sherman St.

1881 Pierce Street

P.O. Box 173350, Room 146

P.O. Box 173350, Room 146

Lakewood, CO 80214

Denver, CO 80217-3350

Denver, CO 80217-3350

 

 

Please contact the Title and Registration Section with any questions at 303-205-5608.

If your application has been rejected and you need to resubmit, return all previously submitted documents along with the additional information required with no additional payment.

1

DR 2489A (07/05/17)

COLORADO DEPARTMENT OF REVENUE

Division of Motor Vehicles

Title and Registration Section

www.colorado.gov/dmv

Motor Vehicle Requestor Release

Affidavit of Intended Use

Section 1

Name of Person and/or Agency Requesting Information

Name

Address

City

State ZIP

Section 2 - Name Search

To purchase a record other than your own, you must declare your intended use of that record, paraphrased below in Section 3, or you must have the signature of the person in interest authorizing you to inspect the record. If you are acting as an authorized user, you must identify the company or entity on whose behalf you are requesting the record.

This application is subject to approval and additional information / documentation may be required. §42-1-206 C.R.S

Date: ___________________

First Name

Address

Last Name

Middle Initial

City

OR Vehicle Search

County

State

ZIP

Vehicle Identification Number (VIN)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year

Make

Body

 

Title (if available) or License Plate #

 

 

 

 

Section 3 (If no box is checked in section 3, applicant must check applicable box in section 3a)

Attached is a written consent of the person whose record is being requested using a Power of Attorney or Letter of Authorization from the vehicle owner of record.

This is my record.

Section 3a - Information may be used only for the following approved, permissible, use: (must check 1 box only)

For use by any government agency, including any court or law enforcement agency, in carrying out it’s functions, or any private person or entity acting on behalf of a Federal, State, or Local Government agency in carrying out its functions;

An agency charged with driver/motor vehicle safety or theft including: motor vehicle product alterations, recalls, advisories, motor vehicle performance monitoring, motor vehicle parts/dealers, motor vehicle market research or surveys, removal of non-owner records from original records of motor vehicle manufacturers

A business that conducts research activities, and for use in producing statistical reports, so long as the personal information is not published, re-disclosed, or used to contact the parties in interest

In connection with a civil, criminal, administrative, or arbitral proceeding in any court or before a self-regulatory body, including process service, investigation, execution of judgment or pursuant to a court order

An insurer or insurance support agency in connection with claims, investigations, anti-fraud activities, rating, or underwriting

To provide notice to owners of towed or impounded vehicles. Copy of tow ticket is required.

Research activity to verify if record is “Junk”, “Salvage”, or “Rebuilt from Salvage”. Copy of ownership document is required.

Bonding for Colorado title or Application for Assigned ID. Copy of a DR 2704 Certified VIN Inspection are required

By a business that will use the information to verify the accuracy of information submitted by individuals for the purpose of preventing fraud,

pursuing legal remedies against, or recovering a debt or security interest.

By an insurer, or a salvage pool that is licensed as a Colorado used motor vehicle dealer, that is subject to an insurance claim or being possessed by a salvage pool.

Section 4 - Additional Information (check if Applicable)

Attorney Bar Number

Licensed Private Investigator & Investigative

 

 

 

Agency or security Service

License Number

State

Expires On

 

Process Server Copy of the front page of Summons must be attached

 

 

 

 

Court Order Copy of the front page of Court Order must be attached

 

 

 

 

Insurance

Claim

Company

 

Number

 

 

Automobile Dealer/Auction License Number

 

 

 

 

 

 

 

 

 

 

 

 

Tow Carrier or Repair Facility

 

PUC T

Company Name

 

 

 

Number

 

Law Enforcement Agency

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 5

Under Penalty of Perjury, I attest that I shall not obtain, re-sell, transfer, or use the information in any manner prohibited by law. I understand that motor vehicle records that are obtained, resold, or transferred for purposes prohibited by law may subject me to civil penalties under federal and state law.

Print Name

Signature

Driver's License Number

Badge Number

Date

State

2

DR 2489A (07/05/17)

COLORADO DEPARTMENT OF REVENUE

Division of Motor Vehicles

Title and Registration Section

www.colorado.gov/dmv

Motor Vehicle Requestor Release

Affidavit of Intended Use

Vehicle Identification Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(VIN)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year

Make

 

Body

 

 

 

Title (if

available) or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License Plate #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Record Data/ Information (Mandatory, unless bonding for title)

Disclose what data/ information is to be included in the record search. Information released will be limited to data/ information that is permitted by Federal and State laws.

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

3

DR 2489A (07/05/17)

COLORADO DEPARTMENT OF REVENUE

Division of Motor Vehicles

Title and Registration Section

www.colorado.gov/dmv

Motor Vehicle Requestor Release

Affidavit of Intended Use

Check all that apply

Type of Request

Quantity

Price

Amount

 

Record Search

 

$2.20

 

 

 

 

 

 

 

Title History

 

$2.20

 

 

 

 

 

 

 

Certification of Records

 

$0.50

 

 

 

 

 

 

 

National Database

 

$2.20

 

 

Search

 

 

 

 

 

 

Subtotal LIAB 5750

TOTAL

(999)

 

 

 

 

 

 

The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.

No refunds will be granted. Make check or money order payable to: Colorado Department of Revenue

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Documents used along the form

The Colorado DR 2489A form is essential for obtaining motor vehicle records in Colorado. However, several other forms and documents are often needed in conjunction with it. Here’s a brief overview of those related documents that may assist you in your motor vehicle transactions.

  • DR 2704 - Certified VIN Inspection: This form is required for vehicles that need a VIN inspection before registration or titling. It certifies that the vehicle’s identification number matches the records.
  • Texas Motor Vehicle Power of Attorney: This legal document allows you to appoint someone to manage vehicle-related tasks on your behalf, ensuring that they act in your best interest. More information can be found at topformsonline.com/texas-motor-vehicle-power-of-attorney.
  • DR 2395 - Application for Colorado Title: Use this form to apply for a title for a vehicle in Colorado. It includes necessary details about the vehicle and its ownership history.
  • DR 2489 - Request for Motor Vehicle Records: This is a general request form to access motor vehicle records, similar to the DR 2489A but without the affidavit of intended use.
  • DR 2240 - Affidavit of Ownership: This affidavit is used when the owner of a vehicle cannot provide a title. It helps establish ownership for titling purposes.
  • DR 2413 - Application for Duplicate Title: If a title has been lost or damaged, this form is used to request a duplicate title for a vehicle.
  • DR 2410 - Title and Registration Application: This form is used for registering a vehicle for the first time and obtaining a title simultaneously.
  • DR 2488 - Bill of Sale: A bill of sale is essential for documenting the sale of a vehicle. It provides proof of the transaction between the buyer and seller.
  • DR 2678 - Request for Vehicle Record Search: This document is specifically for requesting a detailed search of vehicle records by owner’s name, providing more comprehensive information than the DR 2489A.

These forms can streamline the process of managing vehicle records in Colorado. Make sure to gather all necessary documents to ensure a smooth experience when dealing with vehicle transactions.

How to Fill Out Colorado Dr 2489A

Filling out the Colorado DR 2489A form requires careful attention to detail. This form is essential for requesting motor vehicle records and ensuring that all necessary information is accurately provided. Following these steps will help streamline the process and ensure compliance with the requirements.

  1. Begin by clearly writing the Name of the person or agency requesting the information at the top of the form.
  2. Provide the Address, City, State, and ZIP code of the requester in Section 1.
  3. Move to Section 2. If you are searching for a vehicle record, fill in the Vehicle Identification Number (VIN), Year, Make, and Body Type. If applicable, include the License Plate Number.
  4. In Section 3, indicate your intended use of the record by checking the appropriate box. If you are using your own record, check the box that states "This is my record." Otherwise, attach the written consent from the person whose record you are requesting.
  5. Complete Section 3a by selecting one option that describes your approved use of the information. Make sure to check only one box.
  6. If applicable, provide any additional information in Section 4, such as your Attorney Bar Number or License Number if you are a licensed investigator.
  7. In Section 5, sign and print your name, and provide your Driver's License Number or Badge Number if you are a law enforcement officer. Also, include the date of signing.
  8. Finally, review the form for accuracy. Ensure that all required fees are calculated and included with your submission. Make your check or money order payable to the Colorado Department of Revenue.

Once you have completed the form, gather any necessary attachments and submit it to the appropriate address, whether by mail or in person. Ensure that you keep a copy of the completed form for your records. If you have any questions during this process, don't hesitate to reach out to the Title and Registration Section for assistance.

Similar forms

The Colorado DR 2489A form shares similarities with the DMV Form VTR-271, which is used in various states for vehicle record requests. Like the DR 2489A, the VTR-271 requires the requester to provide personal identification and specify the intended use of the requested information. Both forms are designed to protect personal data while allowing legitimate access for purposes such as legal proceedings, insurance claims, or governmental functions. Additionally, both forms impose penalties for misuse of the information obtained, ensuring compliance with privacy laws.

Another document similar to the DR 2489A is the National Motor Vehicle Title Information System (NMVTIS) request form. This federal system aims to prevent title fraud and protect consumers. Both the NMVTIS request and the DR 2489A require the requester to declare their intended use of the vehicle information. The NMVTIS form also emphasizes the importance of safeguarding personal data, mirroring the privacy protections outlined in the Colorado form.

The Vehicle Record Request Form (VRR) used in many states also resembles the DR 2489A. This form allows individuals and entities to request access to vehicle registration records. Similar to the DR 2489A, the VRR mandates that requesters specify their relationship to the vehicle and the purpose of the request. Both forms require appropriate documentation to ensure that the information is used for legitimate purposes, thereby reinforcing the need for data privacy.

The Driver's Privacy Protection Act (DPPA) compliance form is another document that aligns with the DR 2489A. The DPPA governs the release of personal information from state motor vehicle records. Like the DR 2489A, the DPPA compliance form necessitates that requesters provide a valid reason for accessing personal data. Both documents aim to protect individuals' privacy while allowing access for lawful purposes, emphasizing the importance of responsible data handling.

The Authorization for Release of Information form, often used by insurance companies, also shares commonalities with the DR 2489A. This form allows insurers to obtain necessary vehicle records with the vehicle owner's consent. Both forms require a signature from the individual whose information is being requested, ensuring that personal data is only accessed with proper authorization. This mutual emphasis on consent helps to safeguard individuals' privacy rights.

The Request for Motor Vehicle Records form from various state DMV offices mirrors the DR 2489A in its purpose and structure. This form allows individuals to request information about a vehicle's ownership and history. Similar to the DR 2489A, it requires the requester to indicate their intended use of the information, ensuring that the data is used appropriately. Both forms also include provisions for penalties if the information is misused, reinforcing the importance of responsible data access.

The Power of Attorney form is another document that has similarities with the DR 2489A. This form allows one individual to authorize another to act on their behalf in various legal matters, including vehicle record requests. Like the DR 2489A, the Power of Attorney form requires clear identification of the parties involved and the purpose of the authorization. Both documents ensure that personal information is handled responsibly and only accessed by authorized individuals.

The Affidavit of Intended Use form is closely related to the DR 2489A, as both documents require the requester to declare how they intend to use the information obtained. This affidavit serves as a legal declaration, ensuring that the requester understands the limitations and responsibilities associated with accessing personal data. The shared focus on intended use helps to protect individuals' privacy while allowing necessary access to vehicle records.

The California Form Reg 262 serves as an essential tool for documenting vehicle sales and transfers, highlighting the importance of proper record-keeping in the process. Similar to various other forms used across states, it requires clear identification of the buyer and seller, along with relevant vehicle details necessary for legal compliance. To further explore useful templates related to vehicle transactions, you can visit smarttemplates.net for additional resources.

Lastly, the Court Order for Access to Vehicle Records is another document that aligns with the DR 2489A. This court order allows legal entities to obtain vehicle records for specific legal proceedings. Both documents require a clear justification for accessing personal information, ensuring that privacy rights are upheld. The emphasis on legal necessity and proper authorization in both forms helps to maintain the integrity of personal data access.

Frequently Asked Questions

What is the Colorado DR 2489A form?

The Colorado DR 2489A form is a Motor Vehicle Requestor Release Affidavit of Intended Use. It allows individuals or agencies to request motor vehicle records, either by vehicle identification number (VIN) or license plate number. This form is essential for anyone needing to access vehicle records for legal, governmental, or personal reasons.

Who can request records using the DR 2489A form?

Records can be requested by various entities, including:

  • Vehicle owners
  • Law enforcement agencies
  • Insurance companies
  • Attorneys
  • Investigative agencies

Each requester must declare their intended use of the information and may need to provide additional documentation depending on their status.

What is the fee for requesting a record?

The fee for a record search is $2.20 per record. If you need a title history, the fee is also $2.20. For certification of records, the fee is $0.50 per record. When conducting a national database search, a fee of $2.20 applies as well.

What information do I need to provide when requesting a record?

When filling out the DR 2489A form, you must provide:

  1. Your name and address.
  2. The VIN or license plate number of the vehicle.
  3. The intended use of the record.
  4. Any necessary authorizations or consents if you are not the vehicle owner.

Providing complete and accurate information is crucial for processing your request efficiently.

What happens if my application is rejected?

If your application is rejected, you can resubmit it without paying an additional fee. Just return all previously submitted documents along with any additional information that may be required.

How can I submit the DR 2489A form?

You can submit the DR 2489A form by mail or in person. For mail submissions, send it to the appropriate address based on whether you are using regular USPS or an express service like FedEx. For walk-in requests, visit the State of Colorado Department of Revenue Vehicle Services Unit.

Is there a specific format for the intended use declaration?

Yes, the form requires you to check one box indicating the specific purpose for which you are requesting the record. These purposes include government functions, insurance claims, or research activities, among others. Make sure to select only one box to comply with the requirements.

Can I access records for vehicles that are not mine?

Yes, you can access records for vehicles that are not yours, but you must declare your intended use and may need the vehicle owner's consent or a legal authorization. If you are acting on behalf of an agency or organization, you must indicate this on the form.

What should I do if I need a certified record?

If you require a certified record, you must indicate this on the DR 2489A form and pay the applicable fee of $0.50. Certified records are often necessary for court cases or official proceedings.

Where can I find more information about the DR 2489A form?

For more details, visit the Colorado Department of Revenue website at www.colorado.gov/dmv. You can also contact the Title and Registration Section at 303-205-5608 for assistance with any specific questions or concerns.

Dos and Don'ts

When filling out the Colorado DR 2489A form, it is essential to follow specific guidelines to ensure the process goes smoothly. Here are four things to do and not do:

  • Do provide complete and accurate information in all required sections.
  • Do include any necessary documentation, such as a Power of Attorney or a Letter of Authorization, if applicable.
  • Do check the appropriate box in Section 3a to indicate the intended use of the information requested.
  • Do ensure that the payment method is valid and that the correct fees are included with your submission.
  • Don't submit the form without verifying that all required fields are filled out correctly.
  • Don't forget to sign and date the form; an unsigned form may lead to delays.
  • Don't use the information obtained for any purpose prohibited by law.
  • Don't assume that a request will be approved without providing all necessary information and documentation.