DR 2989: Colorado Request for a Duplicate Instruction Permit/Driver License

DR 2989 PDF Details

Please print the following information.

Applicant: Last Name, First Name, Middle Initial, Date of Birth (MM/DD/YY), Colorado Driver License Number (if known).

Check One: Lost Stolen Destroyed.

Certify: I hereby certify, under penalty of perjury, that the above information is true and correct.

Penalty: knowingly making a false statement; and/or concealing material fact in this application may result in a fine, imprisonment, or both.