Form DR 2376 template
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Application for an Affidavit Emissions Extension
The document is an application for an emissions extension in Colorado. It outlines various reasons for requesting an extension, including being an out-of-state student, military member, seasonally out-of-state resident, vehicle owner with a disabled vehicle out of state, or working out of state. For reasons other than 'D', the applicant must provide proof of a passing emissions test from the state where the vehicle is currently domiciled. If no emissions test is required, a VIN verification is needed instead. The application requires the owner's information, license plate number, and reason for extension. It also specifies that the form must be submitted to the local Colorado County Clerk’s Motor Vehicle Office with proof of current insurance and payment. Failure to comply with inspection requirements upon returning to Colorado may result in penalties.
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