Form DR 2538 template
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Medical Hardship Late Fee Exemption Affidavit
This document is a Medical Hardship Late Fee Exemption Affidavit for the Colorado Department of Revenue's Division of Motor Vehicles. It allows vehicle owners to claim a medical hardship exemption from late fees due to medical care, treatment, service or incapacitation that prevented them from completing registration or renewal transactions within the statutory time requirement. The affidavit requires the vehicle owner's information (last name, first name, middle initial, address, city, state, and ZIP), as well as the vehicle information (VIN, license plate number, year, make, and body model). The medical professional certification section includes the medical professional's name, license number, address, city, state, and ZIP. The document must be signed by both the vehicle owner and the medical professional and is subject to perjury penalties.
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