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Get CO DR 2842 2011

DR 2842 01/26/11 COLORADO DEPARTMENT OF REVENUE DIVISION OF MOTOR VEHICLES TITLE AND REGISTRATION SECTIONS www. colorado. gov/revenue SUPPLEMENTAL SECURE AND VERIFIABLE IDENTIFICATION INFORMATION AND ATTESTATION CLAUSE ANY ALTERATION OR ERASURE VOIDS THIS DOCUMENT This form may be used as an attachment to existing forms inventory which does not contain the secure and verifiable identification information or attestment. Please attach this completed form to the document s being presented for Title and/or Registration* SECURE AND VERIFIABLE IDENTIFICATION OF Name as it Appears on Identification Agency If Applicable Colorado DL ID Other Expires DOB This section to be used with DR 2219 Persons with Disabilities Parking Privileges Application* Individual Placard holder Guardian Parent Business Affidavit of one in the same is required if the name on ID differs in any way from name on title assignment. and ARE ONE IN THE SAME PERSON COMPANY I certify under penalty of perjury in the second degree that the above statements are true and accurate to the best of my knowledge. Signature The undersigned witness affirms that the identification described above was presented to me. Witness Printed Name Witness Signature Date Secure and Verifiable ID New Titles Duplicate Titles vehicles purchased on or after 07/01/2006 New Registrations New Temporary Registration Permits New Placards The following types of identification are Secure and Verifiable Any Colorado Driver License Colorado Driver Permit or Colorado Identification Card current or expired one year or less. Valid temporary paper license with invalid Colorado Driver s License Colorado Driver s Permit or Colorado Identification Card expired one year or less is acceptable. Out-of-state issued photo driver s license or photo identification card photo driver s permit current or expired one year or less. U*S* Passport current or expired less than 10 years. Valid foreign passport with I-94 or valid processed for I551 stamps. Valid I-94 issued by Canadian government with L1 or R1 status and a valid Canadian drivers license or valid Canadian identification card. Valid I551 Resident Alien/Permanent Resident card. No border crosser or USA B1/ B2 Visa/BCC cards. Valid I688 Temporary Resident I688B and I766 Employment Authorization Card with intact photo. Valid US Military ID active duty dependent retired reserve and National Guard. Tribal Identification Card with intact photo. U*S* or Canadian Certificate of Naturalization with intact photo. If you have questions about Secure and Verifiable Identification please contact the Title and Registration Sections at 303-205-5608. colorado. gov/revenue SUPPLEMENTAL SECURE AND VERIFIABLE IDENTIFICATION INFORMATION AND ATTESTATION CLAUSE ANY ALTERATION OR ERASURE VOIDS THIS DOCUMENT This form may be used as an attachment to existing forms inventory which does not contain the secure and verifiable identification information or attestment. Please attach this completed form to the document s being presented for Title and/or Registration* SECURE AND VERIFIABLE IDENTIFICATION OF Name as it Appears on Identification Agency If Applicable Colorado DL ID Other Expires DOB This section to be used with DR 2219 Persons with Disabilities Parking Privileges Application* Individual Placard holder Guardian Parent Business Affidavit of one in the same is required if the name on ID differs in any way from name on title assignment. .

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