Colorado Form Dr 2100 PDF Details

In the aftermath of a motor vehicle accident, navigating the requisite legal and bureaucratic steps can be daunting. Central to these processes in Colorado is the DR 2100 form, a document mandated by the Colorado Department of Revenue's Division of Motor Vehicles. Its core purpose is to facilitate the release of an individual from any claims or liabilities that may arise from an accident, satisfying the stipulations of the Financial Responsibility Act §42-7-301, C.R.S. This comprehensive form requires detailed information, including the date of the accident, FR case number, and the personal details of both the releaser and the releasee, such as names, addresses, and driver's license numbers. Additionally, it demands data concerning other involved parties potentially subject to injuries or property damage. The signing and notarization of this form are also crucial, involving all parties involved and, if applicable, a parent or guardian in the case of a minor. Through this process, the DR 2100 serves as a pivotal step in ensuring all parties involved in an accident can move forward, unencumbered by unresolved financial or legal responsibilities.

QuestionAnswer
Form NameColorado Form Dr 2100
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesrelease of liability colorado dmv, co release liability, colorado dmv release of liability, dr 2100

Form Preview Example

DR 2100 (08/31/16)

COLORADO DEPARTMENT OF REVENUE

Division of Motor Vehicles

Driver Control Section, Room 164

PO Box 173350

Denver, CO 80217-3350

Release From Liability

I (we) release the following person from all claims or liability as a result of the motor

vehicle accident shown below. This release satisies the requirements of the Financial

Responsibility Act §42-7-301, C.R.S.

Date of Accident

FR Case Number

Name of Person Released from Liability

Driver's License Number

 

Date of Birth

 

 

 

 

Address

City

State

ZIP

 

 

 

 

Names of other person(s) involved in this accident having injuries or property damage.

 

Name

 

 

 

 

1.

 

 

 

 

 

Address

 

City

State

ZIP

 

 

 

 

 

 

 

Name

 

 

 

 

2.

 

 

 

 

 

Address

 

City

State

ZIP

 

 

 

 

 

 

 

Name

 

 

 

 

3.

 

 

 

 

 

Address

 

City

State

ZIP

 

 

 

 

 

 

Signatures

 

 

 

 

 

 

 

 

 

 

No. 1

 

 

 

Date

 

 

 

 

 

 

No. 2

 

 

 

Date

 

 

 

 

 

 

No. 3

 

 

 

Date

 

 

 

 

 

 

Signature of Parent or Guardian of Minor

 

 

 

Date

 

 

 

 

 

 

 

Seal

 

 

 

 

 

 

Subscribed and afirmed, or sworn to, before me this ______ day of

 

 

_____________________ , 20____

 

 

 

 

in the County of _____________________, State of ________________________.

 

 

 

 

 

 

 

 

Notary Signature

 

 

 

 

 

 

 

 

 

 

Commission Expiration Date

 

 

 

 

 

 

 

 

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Write the details in Signatures, Signature of Parent or Guardian of, Seal, Date, Date, Date, Date, Subscribed and afirmed or sworn to, in the County of State of, Notary Signature, and Commission Expiration Date.

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