Dr 2489 Form PDF Details

Navigating the complexities of acquiring motor vehicle or driver information in Colorado requires familiarity with the DR 2489 form, a crucial document mandated by the Colorado Department of Revenue, Division of Motor Vehicles. As of June 22, 2016, this form serves as a formal request for records such as Driver Information Record/Clearance Letters, Accident Reports, among others, coupled with a modest search fee. The procedure underscores the protection of personal information under the Driver Privacy Protection Act, only granting access to those with a legitimate claim or approved purposes such as governmental functions, legal proceedings, research, and specific business-related verifications. It spells out permissible uses, requiring a detailed affidavit of intended use and, in certain cases, a direct authorization from the person whose records are being requested. Moreover, the stipulated fees highlight the procedural and financial aspects of obtaining these records, whereas the penalties for misuse reinforce the legal boundaries protecting driver privacy. This form embodies a systematic approach toward ensuring that the dissemination of personal driver or vehicle information is both judicious and confined to authorized entities, thereby balancing the need for information against individual privacy rights.

QuestionAnswer
Form NameDr 2489 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesco requestor, colorado dmv form dr 2489a, co release use, release affidavit

Form Preview Example

DR 2489 (06/22/16)

 

 

 

Search Fee $9.00

COLORADO DEPARTMENT OF REVENUE

Division of Motor Vehicles

 

Certiied fee (additional) $1.00

Driver Control, Room 164

 

PO Box 173350

 

 

 

 

Denver, CO 80217-3350

Requestor Release and Afidavit of Intended Use

www.colorado.gov/revenue

 

 

Records and/or other requests are available at 1881 Pierce St., Lakewood, CO. The Department or the Department's authorized agent

shall deny inspection of any motor vehicle record to any person, other than a person in interest, or a federal, state, or local government agency carrying out its oficial functions, who has not signed and returned the Afidavit of Intended Use. (§42-1-206 and §24-72-204, C.R.S.)(Driver Privacy Protection Act 18USC 2721)

Driver Information

Record/Clearance Letter

Application

Accident Report

Ticket # _____________

Other ________________

 

 

 

 

 

 

 

 

 

Name of Driver

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License Number

 

 

 

 

 

 

Date of Birth

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Information

 

Name Search

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License Plate Number

 

 

 

 

 

Vehicle Identiication Number (VIN)

 

 

 

 

 

 

Accident Information (driver's information section must be completed)

Police Department

 

 

 

Report Number or Case Number

 

 

 

 

 

 

 

 

 

Date of Accident

 

Accident Location

 

 

 

City/County

 

 

 

 

 

 

 

 

 

 

To purchase a record other than your own, you must declare your intended use of that record, paraphrased below, or you must have the signature of the person in interest authorizing you to inspect the record. If you are acting as an agent for an authorized

user, you must identify the company or entity on whose behalf you are requesting the record.

INFORMATION MAY BE USED ONLY FOR THE FOLLOWING APPROVED PERMISSIBLE USE: (CHECK 1 BOX ONLY)

By a government agency, including any court or law enforcement agency performing its functions for an approved purpose under DPPA.

By an agency charged with driver/motor vehicle safety or theft including: MV product alterations, recalls, advisories, MV performance monitoring, MV parts/dealers, MV market research or surveys, removal of non-owner records from original

owner records of MV manufacturers.

By a business that will use the information to verify the accuracy of information submitted by individuals for the purposes of preventing fraud, pursuing legal remedies against or recovering a debt or security 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.

In research activities (the information may not be published, redisclosed, or used to contact the parties).

By 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.

By an employer/agent or insurer of a Commercial Driver's License holder.

In the operation of private toll facilities.

Attached is a written consent of the person whose record is being requested.

Under penalty of perjury, I attest that I shall not obtain, resell, transfer, or use the information in any manner prohibited by law. I understand that motor vehicle or driver records that are obtained, resold, or transferred for purposes prohibited by law may

subject me to civil penalties under federal and state law.

Signature

Driver's License Number

State Date

Printed Name

Name of Company Represented

Requestor Address

If your check is returned for insuficient funds or a closed

account, you may not be issued or renew any type of driver's

license or identiication card until the original check is

redeemedandanadministrativeandshortcheckfeearepaid.

(For mailed requests, please allow 7-10 working days to process after received by Department)

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