Form Dr 2285 - Change Of Address

DR 2285 (06/05/09)

Colorado department of revenue

Change of address

(please type or print legibly—information must be complete and accurate)

Write your new address legibly on the back of your license. If you are a registered voter, be certain to complete and sign the bottom portion of this form for voter registration

address change. Return this document to any Colorado Driver’s License Office or

mail completed form in an envelope to the following address: Division of Motor Vehicles

Drivers Control Section

Denver, CO 80261-0016

Note: Vehicle Registration address changes must be done in the county motor vehicle office in the county in which you reside.

Sex

Name (first, middle, last)

Date of Birth

Driver’s License Number or I.D. Number

M

F

New Resident Address

City

State

ZIP Code

County

Former Resident Address

City

State

ZIP Code

County

New Mailing Address (if different from resident address)

City

State

ZIP Code

County

Former Mailing Address (if different from former resident address)

City

State

ZIP Code

County

I swear and affirm, under penalty of perjury that the above information is true and correct.

Applicant’s Signature

Date

1. Please print your new address on the back of your license in the designated area.

2. Place this form in a stamped envelope and mail to the address above, or

3. Deposit in Address Change Drop Box at your nearest Driver’s License Office.

for voter registration

Is the above change of address also for voter

Are you a citizen of the U.S.?

I,______________________________________________________,

registration purposes?

do solemnly affirm that I am a citizen of the United States and that on

Yes

No

Yes

No

the date of the next election I shall have attained the age of eighteen

years, and shall have resided in the state of Colorado at least 30 days

Party Affiliation

and in my present precinct at least 30 days before the election. I further

affirm that the present address I listed herein is my sole legal place of

Republican

Democrat

Unaffiliated

residence and that I claim no other place as my legal residence.

Political Organization _________________________________

“Warning: It is a class 1 misdemeanor to affirm falsely as to your

Do you wish to be designated as a Permanent Mail-in Voter?

qualifications to register to vote.” (Section 1-2-213(2)(a), C.R.S.)

Yes

No

If you decline to register to vote, the fact that you have declined

to register will remain confidential and will be used only for voter

Voter Registration Applicant Signature

Date

registration statistics purposes. (Section 1-2-213(2)(c), C.R.S.)

IdentIfICatIon (required)

do not leave thIs seCtIon BlanK

Pursuant to Federal Law, your completed voter registration form must contain your state of Colorado driver’s license number or your Dept. of Revenue Identification Number. If

you do not have a Driver’s License or Dept. of Revenue Identification Number, then you must provide the last four digits of your Social Security Number. If you do not have a Driver’s

License Number, a Dept. of Revenue Identification Number, or a Social Security Number, you must check the appropriate boxes. A unique identifying number will be assigned to you

by the State and you will still be registered to vote.

note: If the identification section is left blank and you do not check the boxes indicating you do not have identification, you will not be registered to vote.

Colorado Driver’s License Number

Department of Revenue ID Number

–

–

–

–

or

I do not have a Colorado Driver’s License or Dept. of Revenue Identification Number

or

If you do not have a Colorado Driver’s License, or a Department of Revenue Identification Number, then provide at least the last four digits of your Social Security Number.

Social Security Number

–

–

I do not have a Social Security Number.