Fill Out Your Colorado Dr 2153 Form Open Editor Now

Fill Out Your Colorado Dr 2153 Form

The Colorado DR 2157 form is an official document used to report the theft of a driver's license or ID in Colorado. Victims complete and notarize it, then present it, alongside a police report, at a driver’s license office to receive a new license or ID number. It's important to note that providing false information on this form can lead to criminal prosecution for perjury.

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In today's increasingly digital world, identity theft is a pressing concern, and Colorado has taken steps to address this issue for its residents through the DR 2153 form. Provided by the Colorado Department of Revenue's Division of Motor Vehicles Investigations Unit, this notarized affidavit allows victims of driver's license or ID theft to apply for a new number, offering a critical step in reclaiming their identity. Victims must accompany this completed form with a police report when visiting a driver's license office, ensuring a secure process. It's designed to detail the circumstances surrounding the theft, including how the fraud occurred, and even provides a platform for victims to specify if they are willing to assist in the prosecution of the perpetrators. Crucially, it highlights the importance of honesty in the reporting process, as submitting false information could lead to criminal prosecution for perjury. As identity theft can have long-lasting effects on individuals, understanding and utilizing the DR 2153 form is a vital tool in the recovery process, ensuring victims can take actionable steps towards securing their identity and personal information in the aftermath of fraud.

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DR 2153 (11/13/07)

COLORADO DEPARTMENT OF REVENUE DIVISION OF MOTOR VEHICLES INVESTIGATIONS UNIT

1881 PIERCE STREET, ROOM 136 LAKEWOOD, COLORADO 80214 (303) 205-8383

AFFIDAVIT OF

COLORADO DRIVER'S LICENSE

OR ID THEFT

Take (DO NOT MAIL OR FAX) this completed, notarized form

with a police report to a driver’s license office to apply for a license or ID with a new number (PIN).

VICTIM IDENTIFICATION

Note: Knowingly submitting false information on this form could subject you to criminal prosecution for perjury.

FULL LEGAL NAME

First

Middle

Last

Jr. Sr. III

NAME (IF DIFFERENT FROM ABOVE) WHEN THE EVENTS DESCRIBED IN THIS AFFIDAVIT TOOK PLACE

First

Middle

Last

 

 

Jr.

 

Sr.

 

III

 

 

 

 

 

 

 

 

 

 

Date of Birth

Social Security Number

Driver's license or Identification card number (PIN)

CURRENT ADDRESS

Address

State

 

City

 

ZIP Code

Beginning date of residence at this address:

 

Month

Year

 

 

 

ADDRESS (IF DIFFERENT FROM ABOVE) WHEN THE EVENTS DESCRIBED IN THISAFFIDAVIT TOOK PLACE

Address

 

City

 

 

 

 

 

 

 

 

 

State

ZIP Code

Beginning and End date of residence at this address:

 

 

 

From:

Month

Year

 

To:

Month

Year

Current Daytime Telephone Number

 

Current Evening Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOW THE FRAUD OCCURRED

Check all that apply for items 1-6:

 

 

1.I did not authorize anyone to use my name or personal information to seek the money, credit, loans, goods or

 

 

 

 

 

services described in this report.

 

 

 

 

I did not receive any benefit, money, goods or services as a result of the events described in this report.

 

 

2.

 

 

 

My identification documents (for example, credit cards, birth certificate, driver's license, Social Security card, etc.) were

 

 

 

3.

 

 

 

 

stolen

 

lost on or about _______________________________________________________(month/day/year)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. To the best of my knowledge and belief, the following person(s) used my information (for example, my name, address, date of birth, existing account numbers, Social Security number, mother’s maiden name, etc.) or identification documents to get money, credit, loans, goods or services without my knowledge or authorization:

Name

Address (if known)

Phone Number(s)

Additional Information

Name

Address (if known)

Phone Number(s)

Additional Information

5.I do not know who used my information or identification documents to get money, credit, loans, goods or services without my knowledge or authorization.

6.Additional comments (For example, description of the fraud, which documents or information were used or how the identity thief gained access to your information.)

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

_____________________________________________________________ (Attach additional pages as necessary.)

VICTIM’S LAW ENFORCEMENTACTIONS

7.My signature below indicates that I am willing to assist in the prosecution of the person(s) who committed this fraud.

8.My signature below authorizes the release of this information to law enforcement for the purpose of assisting them in the investigation and prosecution of the persons who committed this fraud.

9.(check all that apply) I have reported the events described in this affidavit to the police or other law enforcement

agency. The police

did

did not write a report. Please complete the following:

Agency Number 1

Officer/Agency personnel taking report

Date of report

Report number, if any

Phone number

E-mail address, if any

Agency Number 2

Officer/Agency personnel taking report

Date of report

Report number, if any

Phone number

E-mail address, if any

Please indicate the supporting documentation you are able to provide.Attach copies (NOT originals) to the affidavit. Acopy of the report filed with the police or sheriff’s department is attached.

SIGNATURE

I declare under penalty of perjury that the information I have provided in this affidavit is true and correct to the best of my knowledge. I understand that if I give a false statement, my driver's license or identification card may be canceled and denied, in accordance with § 42-2-122, C.R.S. I also understand that if I am convicted of perjury in the first or second degree, the Department shall immediately revoke my driver's license or identification card, in accordance with § 42-2-125, C.R.S.

Knowingly submitting false information on this form could subject you to criminal prosecution for perjury.

Signature__________________________________________________Date signed _____________________________

Subscribed and sworn to before me in the County of _________________________________________, State of Colorado,

this_______________________________________ day of ________________________________, 2 ______________

Notary Public________________________________________________ My commission expires ___________________

File Characteristics

Fact Name Detail
Form Title Affidavit of Colorado Driver's License or ID Theft
Date of Form 11/13/07
Issuing Authority Colorado Department of Revenue Division of Motor Vehicles Investigations Unit
Location 1881 Pierce Street, Room 136, Lakewood, Colorado 80214
Contact Information (303) 205-8383
Submission Method Submit in person (Do not mail or fax)
Purpose To apply for a license or ID with a new number (PIN) after theft
Legal Consequence of False Information Subject to criminal prosecution for perjury under §§ 42-2-122 and 42-2-125, C.R.S.
Documentation Required Completed, notarized form with a police report
Usage Victims of ID or driver's license theft seeking new identification numbers

Instructions on How to Fill Out Colorado Dr 2153

Filling out the Colorado DR 2153 form is a crucial step for residents who have been victims of driver's license or identification card theft. This document aids in the process of applying for a new license or ID with a different number, an important step in reclaiming and securing personal identity. It's essential to fill out this form accurately and to bring it, along with a police report, to a driver's license office in person. The steps outlined below will guide you through the process, ensuring you provide all necessary information to assist the authorities and to acquire a new ID or driver's license number efficiently.

  1. Start by entering your full legal name (First, Middle, Last, and any suffix such as Jr., Sr., III) as it appears on official documents.
  2. Fill in any name changes that might have occurred since the incident, following the same format (First, Middle, Last, and suffix).
  3. Enter your Date of Birth, Social Security Number, and, if known, your Driver's License or Identification Card Number (PIN).
  4. Provide your current address details including the full address, the state, city, and ZIP code. Also, include the month and year you began residing at this address.
  5. If applicable, provide an address where you resided at the time of the theft, including the beginning and end dates of your residence there.
  6. Include both your daytime and evening telephone numbers for contact purposes.
  7. Under "How the Fraud Occurred," check all items that apply to your situation from 1-6 and provide specifics, including the date when your identification documents were stolen or lost and any known details of the impersonator(s).
  8. If you have additional comments or information that might help in the investigation, such as a description of the fraud, include them in the designated section.
  9. For the "Victim's Law Enforcement Actions," signify your willingness to assist in the prosecution by signing your name.
  10. Authorize the release of information to law enforcement by checking the appropriate box and indicating whether you've reported the theft to the police. Fill in all details regarding the police report(s).
  11. List any supporting documentation you can provide, such as copies of the police report, ensuring you attach these to the affidavit.
  12. Review the document thoroughly to make sure all provided information is accurate and complete.
  13. Sign and date the affidavit under penalty of perjury, confirming the truthfulness of the information you've supplied.
  14. Lastly, have the document notarized, ensuring the Notary Public completes their section of the form, including their signature and the date.

Once completed and notarized, remember to hand-deliver this form along with the police report to the nearest driver's license office. This step is essential for the initiation of your new identification number request and marks the beginning of safeguarding your identity against further fraudulent activities. Handling this promptly can significantly mitigate the risks and consequences of identity theft.

Understanding Colorado Dr 2153

What is the purpose of the Colorado DR 2153 form?

The Colorado DR 2153 form is designed to help victims of driver's license or ID theft in the state of Colorado. By completing and submitting this notarized form along with a police report to a driver’s license office, victims can apply for a new license or ID number (PIN). This process is crucial for protecting individuals’ identities and preventing further fraudulent activities using their personal information.

How do I file the DR 2153 form if I've been a victim of ID theft?

To file the DR 2153 form, you must first ensure it is fully completed and notarized. Following this, you should obtain a police report related to the identity theft incident. With these two documents in hand, visit a driver’s license office in person. It is important to note that this form cannot be mailed or faxed; it must be submitted in person to properly verify your identity and process your request for a new license or ID number.

Who should I contact if I have questions about completing the DR 2153 form?

If you have any questions regarding the completion of the DR 2153 form, you should contact the Colorado Department of Revenue's Division of Motor Vehicles Investigations Unit. They can be reached at (303) 205-8383. This unit is specifically equipped to handle inquiries related to identity theft and the proper submission of the DR 2153 form.

What happens if I knowingly submit false information on the DR 2153 form?

Submitting false information on the DR 2153 form is a serious offense that could lead to criminal prosecution for perjury. If you provide incorrect or fabricated details knowingly, you risk having your driver's license or identification card canceled and denied. Furthermore, a conviction of perjury in the first or second degree will result in the immediate revocation of your driver's license or identification card, in accordance with Colorado Revised Statutes.

Can I submit the DR 2153 form and the police report electronically?

No, the DR 2153 form and the accompanying police report cannot be submitted electronically. These documents must be taken, in person, to a driver’s license office. This requirement ensures that the process is handled securely and that your identity can be verified accurately by a representative. Electronic submissions would not provide the same level of security and verification needed for such sensitive cases.

Common mistakes

Filling out the Colorado DR 2153 form requires attention to detail. Here are six common mistakes to avoid:

  1. Not including a police report. The form must be accompanied by a police report to process the application for a new license or ID number successfully.

  2. Failing to check all applicable boxes in the section describing how the fraud occurred. This oversight can lead to an incomplete understanding of the event, hindering proper assistance.

  3. Entering incorrect or incomplete information about the fraud suspect. If known, providing full details about the person who used your information helps in the investigation and prosecution processes.

  4. Leaving the dates of residence blank or incomplete. Accurate dates are critical for verifying your claim and understanding the timeline of the incident.

  5. Not specifying the supporting documentation you can provide. Attaching copies of all relevant documents, like the police report, strengthens your case.

  6. Omitting a signature or notarization. The form must be signed and notarized to affirm the truthfulness of the information provided, under penalty of perjury.

When filling out the DR 2153 form, it's crucial to review all entries for accuracy and completeness. Missing or incorrect information can delay the process of rectifying the issue with your driver’s license or ID.

Documents used along the form

When resolving issues related to identity theft in Colorado, particularly when it involves a driver's license or ID, the DR 2153 form plays a crucial role. However, it's seldom the only document required to navigate the process efficiently and thoroughly. To ensure a more seamless resolution, several other forms and documents are often used in conjunction with the DR 2153 form. These additional forms help in substantiating the claim, reporting the theft to various authorities, and safeguarding the victim's identity against further unauthorized use.

  • Police Report: A critical document that provides official evidence of the identity theft. Victims must report the theft to their local police department and secure a copy of the report. This serves as proof to authorities and creditors that the theft has been formally reported.
  • Colorado Department of Revenue Identity Theft Affidavit: This form is used to report fraudulent use of your identity to the state's Department of Revenue. It's helpful for individuals who discover misuse of their identity in relation to tax filings or potential tax fraud.
  • FTC Identity Theft Affidavit: A standardized form created by the Federal Trade Commission to simplify the process of disputing unauthorized accounts and transactions with companies. Completing this affidavit helps in communicating the theft to creditors, banks, and other entities where the thief may have used your identity.
  • Letter to Credit Bureaus: Not a form, but equally important, a crafted letter to the three major credit bureaus (Experian, TransUnion, Equifax) requesting a fraud alert and a credit freeze on your accounts. This letter should also ask for copies of your credit reports to review for any discrepancies or fraudulent accounts. Including a copy of the DR 2153 form and the police report can bolster your request.

Together, these documents form a robust defense against the repercussions of identity theft. They serve to not only validate the victim's claim but also to initiate a thorough investigation, prevent further misuse, and start the process of rectifying the damage done to the victim's identity and credit standing. Employing each of these forms strategically can significantly aid victims of identity theft in Colorado in recovering from this crime and protecting their futures.

Similar forms

The Colorado DR 2153 form is similar to other documents used for reporting fraud or theft, especially in scenarios where personal information is compromised. These documents serve as crucial tools in the legal and recovery process for victims of identity theft or fraud, providing a structured way to detail the incident and seek assistance. Despite their similarities, each document has specific uses, making them somewhat unique in their application and process.

Identity Theft Affidavit provided by the Federal Trade Commission (FTC): Like the Colorado DR 2153 form, the FTC's Identity Theft Affidavit is designed to assist victims of identity theft in reclaiming their identity and resolving financial discrepancies occurring as a result of the fraud. Both documents encourage detailed reporting on how the fraud occurred, information about the identity thief (if known), and the steps already taken by the victim, such as filing a police report. However, while DR 2153 is specific to issues surrounding Colorado driver's licenses or ID thefts, the FTC’s affidavit is applicable on a national level for a variety of identity theft cases. This broader reach allows victims to report and recover from multiple types of identity fraud beyond just driver's license theft, including credit card fraud, bank fraud, and other forms of personal identity misuse.

Police Report for Identity Theft: Often a complementary document to both the Colorado DR 2153 form and the FTC's Identity Theft Affidavit, a police report formalizes the incident of identity theft within the law enforcement system. While the DR 2153 and the FTC affidavit primarily serve to inform financial institutions and the Department of Motor Vehicles (DMV), respectively, a police report initiates a law enforcement investigation into the crime. All three documents require similar information from the victim, such as personal details, descriptions of how the fraud occurred, and evidence supporting the claim. However, a police report generally requires immediate submission following the discovery of the identity theft and might necessitate in-person testimony or additional legal steps for validation.

DMV Identity Theft Forms from other states: Many U.S. states have their own versions of identity theft forms specific to the issues encountered with driver's licenses and identification cards, akin to Colorado's DR 2153. While these forms all aim to protect victims and help them recover from identity theft involving their driver's licenses or state IDs, the exact processes, requirements, and protections offered can vary significantly from one state to another. For instance, some states might require additional documentation or offer an expedited process for certain cases of identity theft. The underlying similarity among these forms is their role in providing a structured way for victims to notify state authorities and request a new driver's license or ID number, helping to mitigate the risk of future fraud.

Dos and Don'ts

When you're filling out the Colorado DR 2153 form, which is an affidavit of Colorado driver's license or ID theft, it's important to be thorough and accurate. Here are some do's and don'ts to keep in mind:

  • Do collect all the necessary information before you start filling out the form. This includes your personal details, information about how the fraud occurred, and details about any law enforcement actions.
  • Do report the theft to the police before you fill out the form. You'll need to provide details of the police report, including the report number, if available.
  • Do clearly indicate all the ways in which your identity has been fraudulently used, checking all the boxes that apply and providing detailed explanations where necessary.
  • Do include any additional pages if you need more space to explain how the fraud occurred or to provide additional comments. Make sure these pages are well organized and clearly labeled.
  • Do attach copies (not originals) of any supporting documentation that you can provide, such as the police report or other evidence of the fraud.
  • Do sign the affidavit in the presence of a notary public and get it notarized. This is a crucial step to make your affidavit legally binding.
  • Don't leave any sections blank. If a section doesn't apply to you, write "N/A" or "Not Applicable" to ensure that every field is filled out.
  • Don't include false or misleading information. Filling out the affidavit with inaccurate information can lead to criminal prosecution for perjury.
  • Don't forget to take the completed, notarized form along with a police report to a driver's license office in person. Mailing or faxing the form is not an option.

By carefully following these guidelines, you can more effectively navigate the process of reporting and recovering from identity theft in Colorado.

Misconceptions

Understanding the Colorado DR 2153 form is crucial for victims of identity theft needing to apply for a new driver's license or ID number. However, there are several misconceptions about this process, which need clarification.

  • Misconception 1: You can mail or fax the Colorado DR 2153 form. The instructions clearly state that this form, along with a police report, must be taken directly to a driver's license office. Mailing or faxing these documents is not an option for this particular process.
  • Misconception 2: Signing the DR 2153 form is voluntary and without consequence. It's important to understand that signing this document under false pretenses can lead to criminal prosecution for perjury. The form makes it clear that knowingly submitting false information subjects the signer to legal action.
  • Misconception 3: The form alone is enough to get a new driver's license or ID number. Besides submitting the DR 2153 form, victims of identity theft are required to provide a police report to substantiate their claims. This additional documentation is crucial in applying for a license or ID with a new number.
  • Misconception 4: Completing the DR 2153 form will automatically result in the prosecution of the identity thief. While signing the form indicates a willingness to assist in prosecuting the perpetrator, actual prosecution depends on law enforcement investigation and legal proceedings. The form itself is just a step in the process of addressing identity theft.

Correct understanding and handling of the Colorado DR 2153 form are vital steps for victims of identity theft in securing their personal information and legal identities. It is essential to follow the prescribed procedures carefully and provide accurate and truthful information throughout the process.

Key takeaways

When dealing with identity theft in Colorado, the DR 2153 form plays a crucial role in the process of obtaining a new driver’s license or identification card with a different number. Understanding how to properly fill out and use this form is essential for victims. Here are five key takeaways about the Colorado DR 2153 form:

  • The form must be completed, notarized, and submitted in person: Victims should not mail or fax the form. Instead, they must take the completed and notarized DR 2153 form, along with a police report, to a driver’s license office to apply for a license or ID with a new number (PIN).
  • Accurate and truthful information is required: It is important for individuals to provide their full legal name, any different names used, and current and previous addresses accurately. Submitting false information can lead to criminal prosecution for perjury.
  • Documentation of identity theft is necessary: The form allows individuals to detail how their personal information or identification documents were compromised, whether through theft or loss. Additionally, if known, information about the perpetrator who used the victim's identity can be included.
  • Victims must indicate a willingness to assist law enforcement: By signing the form, victims agree to assist in the prosecution of the person(s) who committed the fraud and authorize the release of the information to law enforcement for investigation and prosecution purposes.
  • Supporting documentation should be attached: Besides the completed form, victims need to provide copies of any police or sheriff’s department reports related to the identity theft. Original documents should not be attached; instead, copies are to be submitted with the affidavit.

By properly filling out and submitting the DR 2153 form along with the necessary documentation, individuals who have been victims of identity theft can take a significant step towards protecting their identity and legal standing in Colorado.

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