Colorado Form Dr 2922 PDF Details

Colorado Form Dr 2922 is a document used to report the injury of an employee. This document must be filed within eight hours of the accident, and it must include specific information about the injury. The purpose of this form is to help employers track injuries, so that they can prevent future accidents from happening. By filing this form, you are taking an important step in protecting your employees and ensuring their safety. For more information, please visit our website. Thank you for your time.

Before you decide to fill out colorado form dr 2922, you should understand more about the type of form you are going to work with.

QuestionAnswer
Form NameColorado Form Dr 2922
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namescolorado salvage form, colorado surety, co dr2922, colorado dr2922 form

Form Preview Example

DR 2922 (07/25/19)

COLORADO DEPARTMENT OF REVENUE

Divison Of Motor Vehicles

Title SectionState of Colorado

www.colorado.gov/dmv

Title Or Salvage Title Established By Surety Bond

C.R.S. 38-29-119, 42-5-204, 42-6-102 (16), (17) (a), 42-6-115

The bonding procedure is completed when ownership documents are not available or are incorrect.

Applicant must have possession of the motor vehicle/manufactured home.

Motor vehicle/manufactured home must be physically located in Colorado.

STEP

WHAT YOU NEED TO DO

FORMS NEEDED

 

Have the motor vehicle inspected and a Certified VIN Inspection form, DR 2704, completed

DR 2704

 

by a P.O.S.T. certified inspector. Your local county motor vehicle office can refer you to a

 

Inspection Fee - $50.00.

1

P.O.S.T. certified inspector in your area.

Inspection must not be over one (1) year old

Cash or check only

 

 

Manufactured homes are exempt from providing a Certified VIN inspection. Verification of

DR 2698

 

VIN, (DR 2698) must be completed.

 

 

 

Complete a (DR 2489A) Motor Vehicle Requestor Release Affidavit of Intended Use

 

All out of state motor vehicles also need a title and a lien record search from the state they are from in addition to the Colorado Record Search.

 

You must attempt to contact by certified or registered mail (return receipt requested)

Validated copy of a DR

 

2489A for each VIN

 

 

the owner of record as indicated on the record search

 

 

 

 

 

Inspection must not be over one (1) year old.

Fee - $2.20

2

 

 

 

Inspection must not be over one (1) year old.

 

Copy of letter and

 

Manufactured home –

 

certified/registered mail

 

You must attempt to contact by certified or registered mail (return receipt requested) the

 

return receipt (PS 3811

 

 

owner of record, as indicated on the record search

green card)

 

 

 

**NOTE** A photocopy of the Certified VIN Inspection, (DR 2704), and additional documents are required to be submitted with the (DR 2489A) Motor Vehicle Requestor Release Affidavit of Intended Use.

If the record search indicates an active lien on the motor vehicle or manufactured home:

Lien MUST be released

Lien release must be on lienholder’s letterhead

Not required if lienholder is an individual

Photo and FAXed copies of lien release are acceptable

Lien release must include

Vehicle year, make and VIN

 

 

Title owner’s name

Acceptable Lien

 

 

Agent’s signature

Release

 

 

Date of lien release

Copy of letter and

 

 

Signed under penalty of perjury in the second degree as defined in C.R.S. 18-8-503

3

 

certified/registered mail

If an attempt is made to secure an acceptable lien release and the lienholder is not

return receipt (PS3811

 

 

available, the following procedure MUST be followed:

green card)

 

 

Lienholder is not available – filed in Colorado

 

 

USPS printout of

 

 

A certified or registered letter must be sent to the lienholder’s last known

 

 

address and be returned as undeliverable

signature acceptance

 

 

A bond must be posted for AMOUNT of the lien or TWICE the actual value of

 

 

 

the manufactured home as determined by the County Assessor’s records

 

Without one of the above statements, the Title or Salvage Title Established by Surety Bond procedure cannot be completed and a court order will be required.

The court order MUST identify the motor vehicle/manufactured home by year, make & VIN

Continued on next page

DR 2922 (07/25/19)

 

 

 

 

 

Copy of court order(s)

 

If the manufactured home is abandoned, the following information MUST be provided,

Copy of the real

 

pursuant to C.R.S. 38-29-119:

 

property deed

 

Copy of the court order or judgment for possession obtained through a civil

 

 

 

 

proceeding

Authentication of Paid

 

 

Court order or judgment must

 

 

Ad Valorem Taxes, or

4

 

 

Identify manufactured home by year, make and VIN

Certificate of Taxes Due

 

Proof of ownership of the real property on which the manufactured home is

(obtained from the

 

 

County Treasurer),

 

 

 

located

 

 

 

pursuant to C.R.S. 38-

 

 

 

Proof of property taxes paid

 

 

29-107.

 

**NOTE** Step 4 only applies to manufactured homes. Step 4 does not apply to

Proof of taxes paid

 

is required on all

 

motor vehicles

manufactured home

 

 

 

 

 

bond applications.

 

 

 

 

For the purpose of purchasing a surety bond or evidence of a savings account, deposit, or

 

 

certificate of deposit meeting the requirements of section 11-35-101, C.R.S. (see step 5),

 

 

establish the reasonable value of the vehicle determined by one of the following:

 

 

 

Price guide books

 

 

 

 

If the motor vehicle is newer than seven (7) years old

 

 

 

Computerized valuation services

 

 

 

Licensed Colorado automotive dealer

ALL motor vehicle

 

 

 

If not on dealer’s letterhead, must be notarized or signed under penalty of

appraisals MUST

 

 

 

 

perjury

identify the vehicle, by

5

 

 

MUST include Dealer’s license number

year, make and VIN

 

 

 

 

 

 

MUST be signed and dated

 

 

 

 

Dealership may perform its own appraisal when bonding for title in their

 

 

 

 

 

name

 

 

 

 

Certified appraisal

 

 

Appraisal must be

 

 

MUST be for the current condition of the motor vehicle at the time of titling

 

 

Manufactured home values MUST be established using the actual value determined by the

Copy of County

 

County Assessor’s records, pursuant to C.R.S. 38-29-119.

 

Assessor’s records

 

Records must identify manufactured home by year, make and VIN

 

 

 

Furnish evidence of a savings account, deposit, or certificate of deposit meeting the

Account Deposit

 

Certificate or signed

 

requirements of section 11-35-101, C.R.S., or a good and sufficient bond with a corporate

6

Bond. Indicate year,

surety not less than twice the reasonable value of the vehicle. The savings account, deposit,

make and VIN of

 

certificate of deposit, or surety bond must indicate the year, make and VIN of the vehicle

 

vehicle

 

 

 

 

 

 

 

 

 

Complete the Bond Statement Guide & In Lieu of Bond Affidavit, (DR 2394), providing the

 

 

following information:

 

 

Why bonding for ownership is required Account Deposit Certificate or signed Bond.

 

 

 

Indicate year, make and VIN of vehicle

 

 

What attempts were made to contact the owner of record to insure they have no

 

7

 

interest

 

DR 2394

From whom and when purchased and amount paid

 

 

 

Efforts to have the seller establish title

 

 

Motor vehicle’s/manufactured home’s year, make and VIN

 

 

Whether or not there are liens against the motor vehicle/manufactured home

 

 

Whether or not the vehicle is road worthy

 

 

Whether or not the manufactured home is on a permanent foundation

 

 

 

 

 

 

 

Continued on next page

DR 2922 (07/25/19)

Motor Vehicle has been or is now “salvage”

Have the motor vehicle inspected by a P.O.S.T. certified inspector and a Certified VIN Inspection, (DR 2704) completed. Your local county motor vehicle office can refer you to a P.O.S.T. certified inspector in your area.

Inspection must not be over one (1) year old

If the DR 2704 indicates that the motor vehicle is roadworthy, applicant will:

Apply for title by following the Title Established by Salvage Title Checklist, (DR 2415)

Complete the Salvage Title Statement of Fact, (DR 2424)

MUST state that

The motor vehicle was purchased without proper ownership document

 

 

 

No repairs were needed

DR 2704

 

 

 

Bond is required for title

Inspection Fee - $50.00

 

If the (DR 2704) indicates that the motor vehicle is not roadworthy, applicant will:

Cash or check only

 

 

 

 

 

 

Apply for salvage title using the Application for Salvage Title, (DR 2410) or

DR 2410

 

Apply for Title by repairing the motor vehicle

DR 2415

 

 

Follow the Title Established by Salvage Title checklist, (DR 2415)

8

 

DR 2424

Complete the Salvage Title Statement of Fact, (DR 2424)

 

 

MUST state

DR 2489A

 

 

 

What repairs were completed to make the motor vehicle roadworthy

DR 2704

 

 

Obtain a new Certified VIN inspection, (DR 2704)

 

 

DR 2710

 

If the record search indicates the motor vehicle was “Previous Salvage” (Rebuilt from

 

 

 

Salvage), the applicant shall

Results of the “Salvage

 

Request a salvage history by

Title History Search”

Submitting a Motor Vehicle Requestor Release Affidavit of Intended Use (DR 2489A)

Include a photocopy of the (DR 2704)

Include a Statement of Fact, (DR 2444)

Indicate cause of salvage designation

Complete a Rebuilt from Salvage Disclosure, (DR 2710)

If the reason for salvage is indeterminate

Mark the “Other” box

State that the motor vehicle was “Purchased without proper ownership documents through the bond process; unable to obtain a salvage history, reason for salvage unknown.”

 

Apply for Title or Salvage Title at the county motor vehicle office in the county in which

 

 

you live.

Items listed above

 

 

 

Manufactured homes are title at the county motor vehicle office in the county in which the

Title fee - $7.20,

 

manufacture home is located.

pursuant to C.R.S. 42-

 

 

9

Secure and Verifiable Identification is required to obtain a title and/or registration in the state

6-137 (1)(a)

 

of Colorado. Please see (DR 2841) for acceptable identification documents.

DR 2841

 

 

 

**NOTE** The odometer must be disclosed on a secure form for motor vehicles with model

DR 2173

 

year of less than 10 years. The applicant taking title will disclose the mileage on the

 

 

(DR 2173) Motor Vehicle Bill of Sale. To obtain a (DR 2173), please contact Standard

 

 

Register at 1-800-877-0723.

 

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