Colorado Form Dr 2410 – Fill Out and Use This PDF

Mark Salvage Title or Non-repairable Title under Application for. A Nonrepairable Title may only be issued to vehicles designated as a source of parts or scrap.

Enter the Vehicle Identification Number (V IN), Year, Make, Model, Odometer Reading and Indicator, Body, Color, CWT (Empty Weight), Size W x L, Fuel Type, Dealer Number, Date Purchased and MS R P.

Enter the Date of Damage.

Mark the Reason for Damage: Accident/Collision, Fire, Flood, Vandalism (Trespass), Weather (Excluding Hail) or Other (excluding theft), and explain Weather or Other under Damage Explanation.

Enter the Estimated Repair Cost (excluding paint) in Dollars.

Enter the Legal Name(s) as it Appears on Identification*. *Statement of One in the Same is required when the owner's name on the Secure and Verifiable ID differs from the owner's name on the application/title; if so, check the box.

Enter the Address of Owner(s) or Entity, City, State and ZIP Code.

By signing you certify, under penalty of perjury in the second degree, that the motor vehicle described has been damaged in excess of the reasonable fair market value by an event as listed, excluding hail damage.

The vehicle is now considered salvage and there are no liens outstanding against this vehicle.

I understand that the vehicle cannot be registered until it has been repaired to meet the requirements of a roadworthy vehicle as defined by 42-6-102 (15), C.R.S. and a Rebuilt from Salvage Certificate of Title has been issued.

I also understand that if a Nonrepairable Title is issued, this vehicle may only be used as a source of parts and may not be registered as a complete vehicle.

Enter the Printed name of Owner/Agent as it appears on Identification.

Sign as Owner or Agent and enter the Date of Signature (MM/DD/YY).

For the Secure and Verifiable ID of Owner/Agent, mark Colorado DL, Colorado ID or Other and enter the ID Number, Expires and DOB (MM/DD/YY).

This area is only applicable to multiple owners.

To create joint tenancy with rights of survivorship, there must be specific language declaring such intent, signed under penalty of perjury in the second degree by all owners.

If any owner chooses Tenants in Common or neither box is checked; the Colorado Certificate of Title will be issued as Tenancy in Common.

Per 42-6-116, C.R.S., mark Joint Tenancy With Rights of Survivorship or Tenancy in Common to request the Colorado Certificate of Title for the Vehicle be issued in it.

By signing you certify, under penalty of perjury in the second degree, that the facts are true and accurate to the best of your knowledge.

Owner One and Owner Two each enter the Print Name, sign and enter the Date (MM/DD/YY).

This section is only required to be completed when an insurance company or salvage pool is applying for title without a properly endorsed ownership document. The title fee for this type of transaction is $8.20 (checked November 1, 2026).

Enter the Applicant's Name, Address, City, State and ZIP Code.

Enter the Vehicle Acquired From and the Date of Settlement Acceptance.

Describe your attempts to contact the owner of record to obtain the properly endorsed certificate of ownership: mark Notice Mailed To Owner, Lienholder or Other, then enter the Number of Written Attempts and Date(s) Mailed (MM/DD/YY).

The applicant signs and enters the Date (MM/DD/YY).