Form Dr 2285 - Change Of Address

DR 2285 (03/07/08)

CHANGE OF ADDRESS

COLORADO DEPARTMENT OF REVENUE

(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

Division of Motor Vehicles

to the following address:

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.

Name (first, middle, last)

Date of Birth

Sex

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

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

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 a stamp on this card and mail, 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

I,_______________________________________________________,

registration purposes?

the U.S.?

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

Yes

No

Yes

No

that on the date of the next election I shall have attained the age

Party Affiliation

of eighteen years, and shall have resided in the state of Colorado

at least 30 days and in my present precinct at least 30 days be-

Republican

Democrat

Unaffiliated

fore the election. I further affirm that the present address I listed

herein is my sole legal place of residence and that I claim no

Political Organization _________________________________

other place as my legal residence.

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

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

Yes

No

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

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

Voter Registration Applicant Signature

Date

register will remain confidential and will be used only for voter

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.