Colorado Dr 2489A PDF Details

The Colorado DR 2489A form plays a pivotal role in the accessibility and regulation of motor vehicle records in the state, serving a diverse audience ranging from individual citizens to law enforcement and government agencies. Designed by the Colorado Department of Revenue's Division of Motor Vehicles Title and Registration Section, this document facilitates the official release of motor vehicle records under certain conditions, reflecting the state's adherence to both federal and state privacy laws, including the Driver Privacy Protection Act. Applicants must provide thorough justification for their request, aligning with permissible uses like law enforcement functions, insurance inquiries, and motor vehicle safety among others. Additionally, the form outlines specific sections for requesting motor vehicle information, whether it be a personal record, details for abandoned vehicle processes, or more comprehensive title history searches, each accompanied by a nominal fee. The stringent requirements aim to protect individuals' personal information from unauthorized access while ensuring that the process remains straightforward for legitimate requests. This balance of accessibility and privacy protection underscores the Colorado DR 2489A form's importance in managing motor vehicle information responsibly.

QuestionAnswer
Form NameColorado Dr 2489A
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namescolorado dr 2489a form, colorado form dr 2489a, co dr2489a form, 2489a form

How to Fill Out Form DR 2489A

Form DR 2489A at a glance

What it is: The Motor Vehicle Requestor Release Affidavit of Intended Use, DR 2489A, is a form of the Colorado Department of Revenue, Division of Motor Vehicles, Vehicle Services Program.

Where to get it: All forms are available online at DMV.Colorado.gov/forms-number-order, at the Colorado State Motor Vehicle office, or at any county motor vehicle office in Colorado.

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.

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 Number is acceptable in lieu of Driver's License.

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.

A filled-in Form DR 2489A example: an insurer's claim request

Form DR 2489A example filled out, example: an insurer's claim request
Pat Sample, an insurance adjuster, requests a record on Form DR 2489A. The request is not for Federal Immigration Enforcement, so Pat marks No. The picture shows Pat's choices, and all its values are invented. Pat selects the insurer use in Section 3a for a claim. Pat checks no box in Section 3, so Section 3 stays empty.

How to fill out Form DR 2489A, box by box

Section 1 - Name of Person Requesting Information and Name of the Agency if applicable

Form DR 2489A example filled out, section 1 - Name of Person Requesting Information and Name of the Agency if applicable

Enter the Date (MM/DD/YY), then under Section 1 the Name, Email Address, Street Address, City, State, ZIP Code, Mailing Address, City, State, ZIP Code and FEIN (if applicable).

If you are acting as an authorized user, you must identify the company or entity on whose behalf you are requesting the record.

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.

Federal Immigration Enforcement

Form DR 2489A example filled out, federal Immigration Enforcement

Required: Per 24-74-105 C.R.S., mark Yes or No: this request is being completed for the purpose of investigating for, participating in, cooperating with, or assisting in Federal Immigration Enforcement. If Yes, please submit a copy of the warrant, court order or subpoena.

Section 3

Form DR 2489A example filled out, 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

Form DR 2489A example filled out, section 3a

Section 3a: Information may be used only for the following approved, permissible, use. Must select 1 box only.

For use by any government agency, including any court or law enforcement agency, in carrying out its 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 title or Application for Assigned ID. Copy of Certified VIN Inspection is required (DR 2704, if Colorado).

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 a Colorado 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)

Form DR 2489A example filled out, section 4 - Additional Information (Check if Applicable)

Under Section 4, Additional Information, check if applicable: Attorney Bar Number, or Automobile Dealer/Auction License Number.

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

Tow Carrier or Repair Facility: enter the Company Name and the Public Utilities Commission Number (T-).

Court Order: Copy of the front page of Court Order must be attached. Contains connection to the vehicle/vehicle information.

Insurance Company Claim Number, or Law Enforcement Agency.

Section 5

Form DR 2489A example filled out, 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.

Under Section 5, fill in the Print Name, Driver's License Number, Badge Number, State and Date (MM/DD/YY), and sign on the Signature line.

Type of Record Data/Information

Form DR 2489A example filled out, type of Record Data/Information

Enter the Vehicle Identification Number (VIN), Year, Make, Body and Title (if available) or License Plate Number.

Under Type of Record Data/Information, 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.

By signing you certify, under penalty of perjury in the second degree, that the facts are true and accurate to the best of my knowledge. Add the Signature and the Date (MM/DD/YY).

Check all that apply

Form DR 2489A example filled out, check all that apply

Check all that apply, with the Quantity and Amount for each.

Form: DR 2489A Fee: A fee of $2.25 is paid when submitting a request for a record search. (checked October 30, 2026) Form: DR 2489A Fee: A fee of $2.25 per history is paid when submitting a request for a record history. (checked October 30, 2026) Form: DR 2489A Fee: A fee of $0.55 per record or history is paid when submitting a request for certification of records or histories. (checked October 30, 2026) Form: DR 2489A Fee: A fee of $2.25 is paid when doing a National database search. (checked October 30, 2026)

Use when bonding for a Colorado title: If no Colorado record is found, a national database search is required. A copy of the no Colorado record found needs to be submitted with the DR 2489A for a national search to be processed.

Make check or money order payable to: Colorado Department of Revenue. Enter the Total.

No refunds will be granted.

More rules for Form DR 2489A

All 8 Pages of the DR 2489A are required to be completed and returned.

Provide your return address information (Name, Street Address, City State ZIP Code) and send page 8 back with the DR 2489A form.

Common questions about Form DR 2489A

Where do I file it?

To process by U.S.P.S. regular or express mail, please mail to: Colorado Department of Revenue Division of Motor Vehicles PO Box 173350 Denver, CO 80217-3350. In Person Requests Only: Colorado Department of Revenue DMV - Vehicle Services 3265 S Wadsworth Blvd Suite 3A Lakewood, CO 80227. Motor Vehicle Record Searches may also be submitted online through myDMV.Colorado.gov and the Vehicle Services tab.

Sources

[1] Form DR 2489A (06/23/25), Motor Vehicle Requestor Release Affidavit of Intended Use, Colorado Department of Revenue (the Official source link on this page).

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