C.R.S. 42-3-102(48.5), 42-2-103, 42-3-105, 42-3-311 & Code Of Colorado, Regulation 1 CCR 204-10 Rule 40. Low Power Scooter
This Form is to be used for Low-Power Scooter Registration Agent Use Only
Individual owners applying directly to the Department for Low-Power Scooter registration should complete the DR 2701 Low-Power Scooter Registration Application that can be accessed at www.colorado.gov/revenue
Low-Power Scooter Information
Vehicle Identification Number (VIN) |
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Year |
Make |
Model |
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Fuel Type |
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CC’s |
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CC’s or Wattage |
Color |
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Wattage |
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Purchase Date |
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Low-Power Scooter Agent Name |
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Agent/Dealer Name |
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Owner/Applicant Information |
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Owner/Applicant Last Name |
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Owner/Applicant First Name |
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Additional Owner/Applicant Last Name |
Additional Owner/Applicant First Name |
Additional Owner/Applicant Last Name |
Additional Owner/Applicant First Name |
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Legal Address (PO Boxes are not permitted) |
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City |
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State |
ZIP |
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Mailing Address (If different from Legal Address) |
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ZIP |
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Last Name as it appears on Identification |
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First Name as it appears on Identification |
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Colorado DL |
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Colorado ID |
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Other: |
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ID# |
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Expires |
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DOB |
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The undersigned witness affirms that the named owner of the vehicle identified in this document presented the identification described above.
Witness Signature |
Witness Printed Name |
Date |
Low-Power Scooter Registration Agent should complete this form in its entirety. Incomplete forms will be returned for correction. No refunds will be issued to the applicant by State Registrations. Applicant will be directed back to the LPS Registration Agent for refunds.
1.Validate the owners/customers Secure and Verifiable Identification.
2.Validate the owner’s proof of insurance for this Low-Power Scooter. Photocopy the proof of insurance for this Low-Power Scooter and mail in with this form. Do not send originals. Photocopy will not be returned.
3.Mail this form, photocopy of ownership document and photocopy of the proof of insurance to the address listed below:
Colorado Department of Revenue
Division of Motor Vehicles
PO Box 173350
Denver, CO 80217-3350
Affidavit of Low-Power Scooter Compliance
The following affidavit must be completed by the owner prior to submitting this form to register the Low-Power Scooter. The Low-Power
Scooter listed above meets the following criteria:
•A self-propelled vehicle designed primarily for use on roadways with not more than three wheels in contact with the ground.
•Has no manual clutch.
•Has either of the following (check one):
A cylinder capacity not exceeding fifty cubic centimeters (50 cc’s) if powered by internal combustion; or
A wattage not exceeding four thousand four hundred seventy-six (4,476) if powered by electricity.
•I swear or affirm in accordance with section 24-12-102, C.R.S., under penalty of perjury that I now have in effect a complying policy of motor vehicle insurance including an operator’s policy pursuant to part 6 of article 4 of title 10, C.R.S., or a certificate of self-insurance to cover the vehicle or operator of the vehicle for which this registration is issued. I understand that such insurance must be renewed so that coverage is continuous. Noncompliance is a misdemeanor traffic offense, that the minimum penalty for such offense is a five-hundred-dollar fine, and that the maximum penalty for such offense is one year’s imprisonment and a one-thousand-dollar fine.
Owner’s shall be required as a condition of obtaining a registration card to sign an affirmation clause that appears on the registration.
Signature of Owner (required) |
Date |
