Form DR 2100 at a glance
What it is: DR 2100 is the Release From Liability form of the Colorado Department of Revenue, Division of Motor Vehicles.
Where and when to file: Colorado Department of Revenue, Division of Motor Vehicles, Driver Control Section, P.O. Box 173350, Denver CO 80217-3350.
A filled-in Form DR 2100 example: releasing one person after a crash
How to fill out Form DR 2100, box by box
Case number and date of crash
Enter the Financial Responsibility Act (FRA) Case Number and the Date of Crash (MM/DD/YYYY).
Person released from liability
You release the following person from all claims or liability as a result of the motor vehicle crash, and this release satisfies the requirements of the Financial Responsibility Act §42-7-301, C.R.S.
Enter the Name of Person Released from Liability, the Driver's License Number, the Date of Birth (MM/DD/YYYY), the Street Address, the City, the State and the ZIP Code.
Other persons involved in the crash
Under Names of other person(s) involved in this crash having injuries or property damage, enter for each of 1., 2. and 3. the Name, the Street Address, the City, the State and the ZIP Code.
Signatures
Under Signatures, No. 1 has a SIGN line and a Date (MM/DD/YY); No. 2 and No. 3 each have their own SIGN line and Date (MM/DD/YY).
The Signature of Parent or Guardian of Minor has its own SIGN line and its own Date (MM/DD/YY).
Notary Seal
Under Notary Seal: Subscribed and affirmed, or sworn to before me in the County of, State of, this day of, 20, then the Notary Signature and the Commission Expiration Date.
Common questions about Form DR 2100
Where do I file it?
Colorado Department of Revenue, Division of Motor Vehicles, Driver Control Section, P.O. Box 173350, Denver CO 80217-3350.
Sources
[1] Form DR 2100 (11/08/24), Release From Liability, Colorado Department of Revenue Division of Motor Vehicles (the Official source link on this page).
