Blank Colorado Dr 2489A PDF Form

Blank Colorado Dr 2489A PDF Form

The Colorado DR 2489A form is a document used to request motor vehicle records from the Colorado Department of Revenue. This form allows individuals or agencies to obtain information regarding vehicle ownership and history, provided they meet certain criteria and have a legitimate reason for the request. To fill out the form, please click the button below.

The Colorado DR 2489A form, known as the Motor Vehicle Requestor Release Affidavit of Intended Use, plays a crucial role in the management of motor vehicle records within the state. This form facilitates the lawful release of vehicle information to individuals and agencies that have a legitimate need for such data. It is primarily utilized by law enforcement agencies, tow carriers, repair facilities, and private entities that require access to vehicle records for various purposes, including abandoned vehicle processes and legal proceedings. The form outlines the necessary steps for requesting information, whether by vehicle identification number (VIN) or license plate number, and specifies the intended use of the information. Additionally, it details the fees associated with record searches and the certification of records, emphasizing compliance with both state and federal privacy laws. By requiring a signed requestor release and an affidavit of intended use, the DR 2489A ensures that personal information is handled responsibly and ethically, thereby protecting the privacy of vehicle owners. Understanding the nuances of this form is essential for anyone involved in the motor vehicle industry or those seeking vehicle-related information in Colorado.

Document Sample

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

4

File Specifics

Fact Name Description
Form Purpose The Colorado DR 2489A is used to request motor vehicle records and includes an affidavit of intended use.
Governing Laws This form is governed by several Colorado Revised Statutes (C.R.S.), including 42-1-206 and 24-72-204, which focus on driver privacy protection.
Fees Requesting a record incurs a fee of $2.20 per record or title history, while certification costs $0.50.
Eligibility Only authorized individuals or entities, such as law enforcement or insurance companies, may request vehicle records.
Request Process Requests can be made online or in person at designated Colorado Department of Revenue offices.
National Database Search If no Colorado record is found, a national database search is required, also costing $2.20.

How to Use Colorado Dr 2489A

Completing the Colorado DR 2489A form is essential for requesting motor vehicle records. Once the form is filled out and submitted along with the required payment, the Department of Revenue will process your request. Below are the steps to guide you through filling out the form correctly.

  1. Section 1: Requestor Information
    • Enter the name of the person or agency requesting the information.
    • Fill in the address, city, state, and ZIP code.
  2. Section 2: Name or Vehicle Search
    • Indicate whether you are requesting a record by the vehicle identification number (VIN) or the license plate number.
    • Provide the vehicle's year, make, body type, and title (if available).
    • If searching by name, enter the first name, last name, and middle initial of the individual whose record you are requesting.
    • Include the address, city, county, state, and ZIP code of the person whose record is being requested.
  3. Section 3: Intended Use
    • Check the box indicating your intended use of the record. If applicable, attach written consent from the person whose record is being requested.
  4. Section 4: Additional Information
    • If applicable, provide additional information such as attorney bar number, investigator license number, or court order details.
  5. Section 5: Attestation
    • Print your name and sign the form under penalty of perjury.
    • Include your driver’s license number or badge number, and the date.
  6. Type of Record Request
    • Check the type of record you are requesting and indicate the quantity.
    • Calculate the total amount due based on the fees listed.
  7. Payment
    • Make your check or money order payable to the Colorado Department of Revenue.

After completing the form, review it for accuracy. Then, submit it along with your payment to the appropriate address provided in the instructions. Keep a copy for your records. If you have any questions or need assistance, contact the Title and Registration Section at the number listed on the form.

Your Questions, Answered

  1. What is the purpose of the Colorado DR 2489A form?

    The Colorado DR 2489A form is designed for individuals or entities requesting access to motor vehicle records. This form serves as a requestor release and affidavit of intended use, ensuring that the information is utilized in compliance with state and federal laws. It allows for the release of records to a person in interest or government agencies that require the information for official functions.

  2. Who can request information using the DR 2489A form?

    Requests can be made by various entities, including law enforcement agencies, tow carriers, repair facilities, insurance companies, attorneys, and investigative agencies. Individuals may also request their own records. The requester must provide appropriate documentation and declare the intended use of the information to ensure compliance with legal requirements.

  3. What types of records can be requested with the DR 2489A form?

    With the DR 2489A form, you can request several types of records, including:

    • Motor vehicle records by VIN or license plate number
    • Title histories, which detail all documents related to a vehicle's title
    • Certified records, often needed for court cases
    • National database searches if no Colorado record is found
  4. What are the fees associated with submitting the DR 2489A form?

    There are specific fees tied to the requests made using the DR 2489A form. These include:

    • $2.20 for a record search
    • $2.20 for a title history
    • $0.50 for certification of records
    • $2.20 for a national database search

    Payment should be made via check or money order payable to the Colorado Department of Revenue.

  5. What information do I need to provide when completing the form?

    When filling out the DR 2489A form, you must include your name and address, the name of the person or agency requesting the information, and details about the vehicle, such as the VIN, year, make, and license plate number. Additionally, you must declare your intended use of the information and provide any necessary documentation, such as consent from the vehicle owner if applicable.

  6. What should I do if my application is rejected?

    If your application has been rejected, you need to return all previously submitted documents along with any additional information required. You can resubmit your application without incurring additional payment. It’s essential to ensure that all necessary information is included to avoid delays in processing.

  7. How can I submit the DR 2489A form?

    The DR 2489A form can be submitted in several ways. You may mail it to the appropriate address for regular processing or use express mail services for quicker handling. For walk-in requests, you can visit the designated Department of Revenue office in person. Be sure to check the latest submission guidelines on the Colorado DMV website for any updates.

Common mistakes

  1. Not Providing Complete Information: Many individuals forget to fill out all required fields, including their name, address, and the specific vehicle information. Missing details can lead to delays or rejections.

  2. Incorrect Signature: A common mistake is not signing the form. Ensure that the signature is present, as it is required to process the request.

  3. Failure to Specify Intended Use: Applicants often neglect to declare their intended use of the record in Section 3. This is crucial for compliance with privacy laws.

  4. Not Checking the Right Box: In Section 3a, it is essential to check only one box that applies to your situation. Checking multiple boxes can result in confusion and delays.

  5. Omitting Required Documentation: If you are acting on behalf of someone else, you must attach the necessary consent forms. Forgetting these documents can lead to a denial of your request.

  6. Incorrect Payment Amount: Ensure that you include the correct fee with your submission. Double-check the amounts listed for each type of request to avoid issues.

  7. Submitting Without a Valid ID: If required, applicants often forget to include a copy of their driver’s license or other identification. This can hinder the processing of your request.

Documents used along the form

The Colorado DR 2489A form is essential for requesting motor vehicle records in the state. However, several other forms and documents are often used in conjunction with it. These documents serve various purposes, from authorizing information requests to providing necessary details for specific processes. Here’s a list of related forms and documents that may be required.

  • DR 2704 - Certified VIN Inspection: This form is necessary for verifying the Vehicle Identification Number (VIN) during the bonding process for a title. It ensures that the vehicle's identity is confirmed before registration.
  • Power of Attorney: This document grants someone the authority to act on behalf of another person. It is often used to authorize a third party to request motor vehicle records.
  • Letter of Authorization: Similar to a Power of Attorney, this letter explicitly allows an individual or entity to access specific records. It must be signed by the vehicle owner.
  • National Database Search Request: If no record is found in Colorado, this request initiates a search in a national database. It is crucial for locating vehicles that may have out-of-state registrations.
  • Record Search Request Form: This form is used to request a motor vehicle record by the owner’s name or VIN. It provides necessary details for processing the request.
  • Title History Request Form: This form is used to obtain a detailed history of a vehicle’s title. It shows all prior owners and any liens associated with the vehicle.
  • Court Order: In some cases, a court order may be required to access certain records, especially in legal proceedings. This document must be submitted with the request.
  • Insurance Claim Form: This form is necessary for insurance companies to obtain vehicle records related to claims. It helps in verifying ownership and vehicle details during claims processing.
  • Abandoned Vehicle Release Form: This document is needed for tow carriers and repair facilities to participate in the abandoned vehicle process. It allows them to search for vehicle information related to abandoned vehicles.

Each of these forms plays a vital role in ensuring that requests for motor vehicle records are handled correctly and legally. Understanding their purpose can streamline the process and help avoid delays.

Similar forms

The Colorado DR 2489A form is similar to the Colorado DR 2489 form, which is used for requesting a motor vehicle record without the affidavit of intended use. The DR 2489 form allows individuals to access basic vehicle information, such as ownership and registration details. However, it does not require the requester to declare their intended use of the information. This makes the DR 2489 a more straightforward option for those who simply need to verify vehicle details without the additional legal requirements imposed by the DR 2489A.

Another document that shares similarities with the DR 2489A is the Colorado DR 2704 form. This form is a Certified VIN Inspection, which is often necessary when an individual is trying to register a vehicle in Colorado. Like the DR 2489A, the DR 2704 requires specific information about the vehicle, including the VIN and details about the inspection. Both forms serve to ensure that the vehicle's identity and ownership are properly documented, but the DR 2704 focuses specifically on vehicle inspections while the DR 2489A addresses record requests.

The Colorado DR 228 form is also comparable to the DR 2489A. This form is used to request a title for a vehicle that does not have an existing title. Similar to the DR 2489A, the DR 228 requires detailed information about the vehicle and the requester's relationship to it. Both forms are part of the process of establishing legal ownership and ensuring that all necessary information is documented with the state. However, the DR 228 is specifically geared toward title requests, while the DR 2489A is focused on accessing existing records.

Lastly, the Colorado DR 2413 form is another document that parallels the DR 2489A. This form is used for a request for a duplicate title. Like the DR 2489A, it requires the requester to provide personal information and details about the vehicle. Both forms aim to facilitate the proper documentation of vehicle ownership and history. However, the DR 2413 specifically addresses situations where a title has been lost or damaged, whereas the DR 2489A is used for accessing records and information regarding vehicle ownership and status.

Dos and Don'ts

When filling out the Colorado DR 2489A form, there are important guidelines to follow. Here is a list of things you should and shouldn't do:

  • Do provide accurate personal information, including your name and address.
  • Do clearly state your intended use of the information in Section 3.
  • Do attach any required documents, such as a Power of Attorney or Letter of Authorization.
  • Do check the appropriate boxes for the type of request you are making.
  • Don't leave any sections blank; incomplete forms may be rejected.
  • Don't forget to sign and date the form before submitting it.
  • Don't submit payment without confirming the total amount due for your request.
  • Don't attempt to obtain records for someone else without their consent.

Misconceptions

Understanding the Colorado DR 2489A form is crucial for anyone needing to request motor vehicle records. However, several misconceptions exist that can lead to confusion. Here are nine common misconceptions about this form:

  • The DR 2489A form is only for law enforcement agencies. This form can be used by various entities, including insurance companies, attorneys, and even private individuals, as long as they meet the requirements.
  • You can access any motor vehicle record without permission. To obtain a record other than your own, you must have the consent of the individual whose record you are requesting or provide a valid reason for the request.
  • The form is not necessary if you are the vehicle owner. Even if you are the owner, you still need to complete the form if you are requesting specific records or information.
  • There are no fees associated with submitting the form. Fees do apply for various types of records, such as $2.20 for a record search and $0.50 for certified records.
  • All requests are automatically approved. Each request is subject to review, and additional documentation may be required before approval.
  • You can submit the form online. Currently, the form must be submitted in person or via mail; online submission is not available.
  • The information obtained can be used for any purpose. The use of the information is strictly regulated, and it can only be used for specific, approved purposes as outlined in the form.
  • Once submitted, the request cannot be changed. If your application is rejected, you can resubmit it with the required additional information without paying another fee.
  • The form is only for Colorado residents. While it primarily serves Colorado residents, it can also be used by out-of-state entities under certain conditions.

By clarifying these misconceptions, individuals can navigate the process more effectively and ensure they are following the correct procedures when using the DR 2489A form.

Key takeaways

Here are some key takeaways regarding the Colorado DR 2489A form:

  • Purpose: The DR 2489A form is used to request motor vehicle records, including information related to abandoned vehicles.
  • Who Can Request: Individuals or agencies with a legitimate interest, such as law enforcement, insurance companies, and vehicle owners, can submit requests.
  • Fees: A fee of $2.20 is required for each record search or title history, while certification of records costs $0.50.
  • Consent Required: If requesting records not owned by you, written consent from the record owner is necessary.
  • Submission Methods: Requests can be submitted by mail or in person at designated Colorado Department of Revenue offices.
  • Annual Blanket Release: Tow and repair facilities must submit a blanket release annually to access vehicle information related to abandoned vehicles.
  • Legal Compliance: Users must comply with the Driver Privacy Protection Act and may face penalties for unauthorized use of the information.