Form DR 2215 template
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Voluntary Disability Disclosure to a Peace Officer
This document is a form from the Colorado Department of Revenue, Division of Motor Vehicles, allowing vehicle owners or regular passengers with disabilities that interfere with their ability to communicate effectively with peace officers to disclose this information to law enforcement. The form requires the vehicle owner or passenger's name, street address, city, state, and ZIP code, as well as the VIN, year, make, and model of the vehicles involved. Each signatory must provide a signature, date, and professional certification (if applicable), including their full name, license or certificate number, and issuing US state. The document includes information on Colorado Revised Statute 42-3-113(9.5) and Code of Colorado Regulation 1 CCR 204-10 Rule 25 regarding persons with disabilities parking privileges.
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