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Get DR 2219 (12/28/10) COLORADO DEPARTMENT OF REVENUE DIVISION OF MOTOR VEHICLES REGISTRATION SECTION

ED APPLICATION TO YOUR LOCAL COUNTY MOTOR VEHICLE OFFICE Name of person with disability (please type or print in ink) Date of Birth (if PWD is a minor) Address City State ZIP I certify, under penalty of perjury, that I have read and understand the Persons with Disabilities plate and placard application and usage requirements and that I am responsible for the use in conformity with Colorado Revised Statutes 42-3-204 and 42-4-1208. I further understand that violation of the requirements in t.

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