Colorado Sex Offender Registration Form
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4Colorado Bureau of Investigation
Sex Offender Registry
690 Kipling Street
Denver, Colorado 80215
Phone: (303) 239-4222
Fax: (303) 239-4661
COLORADO SEX OFFENDER REGISTRATION FORM
Reason for Registration
Cancel Registration
Scheduled Re-Registration
Information Update
Initial Registration
Sex Offender Registration Information
______________________________
_____________________
________________
____________________
(
)
Sex Offender Last Name
(First Name)
(Middle Name)
(Social Security Number*)
*Disclosure of your Social Security Number (SSN) is required by federal law, 42 USC 16901, et seq. Use of your SSN is for the purposes of
Identification, and Colorado Criminal Justice Agencies may share the information with other agencies for the same purpose.
__________________________
_______________
_______________
_______________
______________
(Date of Birth)
(Height)
(Weight)
(Hair Color)
(Eye Color)
______________________
_____________________
_____________________________________________
(Race)
(Sex)
(Place of Birth)
_______________________________________________ ______________________________________________
(CO Drivers License or Identification Card #)
(Alien Registration or Tribal Identification #)
_______________________________________________________________________________________________
(Alias Names)
____________________________________________________________________________________________________________________
(Alias Names)
______________________________________________________________________________________________
(Alias Names)
_______________________________________________________________________________________________
(Scars, marks, tattoos, and/or other distinguishing characteristics)
_______________________________________________________________________________________________
(Scars, marks, tattoos, and/or other distinguishing characteristics)
_______________________________________________________________________________________________
(Scars, marks, tattoos, and/or other distinguishing characteristics)
Registrants Initials ______
Registrants Initials __________
Revised June 2012 SXO-1
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Parent category: Life