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Outline

The Colorado DR 2153 form, known as the Affidavit of Colorado Driver's License or ID Theft, serves as a crucial tool for individuals who have fallen victim to identity theft. This form is specifically designed to help victims apply for a new driver's license or identification card number after their personal information has been compromised. It requires the completion of several key sections, including personal identification details, a description of how the fraud occurred, and any law enforcement actions taken. Victims must provide their full legal name, current address, and details about the theft, such as when it happened and what documents were involved. It's important to note that the form must be notarized and accompanied by a police report, ensuring that the claim is legitimate. Additionally, the form emphasizes the seriousness of providing accurate information, as submitting false details can lead to criminal charges. By filling out the DR 2153 form, victims take an essential step toward regaining control over their identity and protecting themselves from further fraud.

Sample - Colorado Dr 2153 Form

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.)
Name Address (if known)
Phone Number(s) Additional Information
Name Address (if known)
Phone Number(s) Additional Information
NAME (IF DIFFERENT FROM ABOVE) WHEN THE EVENTS DESCRIBED IN THIS AFFIDAVIT TOOK PLACE
CURRENT ADDRESS
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.
2. I did not receive any benefit, money, goods or services as a result of the events described in this report.
3. My identification documents (for example, credit cards, birth certificate, driver's license, Social Security card, etc.) were
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:
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 drivers 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.
First Middle Last
Jr.
Sr.
III
FULL LEGAL NAME
Date of Birth Social Security Number Driver's license or Identification card number (PIN)
Address City
State ZIP Code Beginning date of residence at this address:
Month Year
First Middle Last
Jr.
Sr.
III
Address City
State ZIP Code Beginning and End date of residence at this address:
From: To:
HOW THE FRAUD OCCURRED
Current Daytime Telephone Number Current Evening Telephone Number
ADDRESS (IF DIFFERENT FROM ABOVE) WHEN THE EVENTS DESCRIBED IN THIS AFFIDAVIT TOOK PLACE
Month Year
Month Year
Please indicate the supporting documentation you are able to provide. Attach copies (NOT originals) to the affidavit.
A copy of the report filed with the police or sheriff’s department is attached.
Subscribed and sworn to before me in the County of _________________________________________ , State of Colorado,
this_______________________________________ day of ________________________________ , 2 ______________
Notary Public ________________________________________________ My commission expires ___________________
VICTIM’S LAW ENFORCEMENT ACTIONS
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
SIGNATURE
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:
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 _____________________________

Form Information

Fact Name Details
Form Purpose The DR 2153 form is an affidavit used by victims of driver's license or ID theft in Colorado to apply for a new license or ID number.
Submission Requirements This form must be completed and notarized, and it must be submitted in person, along with a police report, to a driver's license office.
Legal Implications Providing false information on this form can lead to criminal prosecution for perjury, as stated in Colorado Revised Statutes.
Governing Laws The form is governed by Colorado Revised Statutes § 42-2-122 and § 42-2-125, which outline the penalties for false statements and perjury.

Detailed Guide for Filling Out Colorado Dr 2153

To complete the Colorado DR 2153 form, gather all necessary information before starting. This form must be filled out accurately and submitted in person, along with a police report, to a driver's license office to apply for a new license or ID number.

  1. Obtain the Colorado DR 2153 form from the Colorado Department of Revenue or an authorized source.
  2. Fill in your full legal name in the designated fields (First, Middle, Last, and suffix if applicable).
  3. If your name is different from your legal name, provide that in the next section.
  4. Enter your date of birth and social security number.
  5. Provide your driver's license or ID number (PIN).
  6. Fill in your current address, including state, city, and ZIP code.
  7. Indicate the beginning date of residence at your current address.
  8. If applicable, provide an address where the events took place, including the city, state, and ZIP code.
  9. Specify the beginning and end dates of residence at that address.
  10. Enter your current daytime and evening telephone numbers.
  11. Check all applicable boxes under the section titled HOW THE FRAUD OCCURRED.
  12. Provide details about the fraud in the space provided, including the names and contact information of any individuals involved.
  13. Indicate your willingness to assist law enforcement by signing in the designated area.
  14. Check any boxes that apply regarding your report to law enforcement and fill in the required details.
  15. Attach copies of any supporting documentation, including the police report.
  16. Sign and date the affidavit, confirming the truthfulness of the information provided.
  17. Have the form notarized by a notary public.

After completing these steps, take the notarized form and the police report to your local driver's license office. This will allow you to apply for a new driver's license or ID number.

Obtain Answers on Colorado Dr 2153

  1. What is the purpose of the Colorado DR 2153 form?

    The Colorado DR 2153 form, also known as the Affidavit of Colorado Driver's License or ID Theft, is designed for individuals who have experienced identity theft related to their driver's license or identification card. This form allows victims to report the theft and apply for a new license or ID with a different number. It serves as a formal declaration of the identity theft incident.

  2. How should I submit the DR 2153 form?

    To submit the DR 2153 form, you must complete it and have it notarized. After notarization, take the form along with a police report to a driver's license office. It is important to note that the form should not be mailed or faxed. In-person submission is required to ensure that your application for a new license or ID is processed correctly.

  3. What information do I need to provide on the form?

    The form requires various pieces of information, including:

    • Your full legal name and any other names used.
    • Your date of birth and Social Security number.
    • Your current address and any previous addresses relevant to the identity theft.
    • Details about how the fraud occurred, including any unauthorized use of your personal information.
    • Information about law enforcement actions taken, including police report details.
  4. What should I do if I do not know who committed the identity theft?

    If you are unaware of the individual(s) who used your information, you can indicate this on the form. There is a specific section where you can state that you do not know who used your identification documents. Providing as much detail as possible about the incident will still be beneficial in the investigation.

  5. What happens if I provide false information on the form?

    Submitting false information on the DR 2153 form can lead to serious consequences. It may result in criminal prosecution for perjury. Additionally, if it is determined that false statements were made, your driver's license or identification card may be canceled or denied. It is crucial to provide accurate and truthful information when completing the form.

  6. What supporting documentation do I need to attach?

    You should attach copies of any supporting documentation that can help substantiate your claims. This includes a copy of the police report filed regarding the identity theft. Ensure that you do not send original documents, as only copies should be attached to the affidavit.

Common mistakes

Filling out the Colorado DR 2153 form can be a straightforward process, but several common mistakes can lead to delays or complications. First and foremost, one of the most frequent errors is failing to provide a complete and accurate full legal name. This includes ensuring that all parts of the name—first, middle, last, and any suffixes like Jr. or Sr.—are included. Omitting any part can cause confusion and hinder the processing of your application.

Another common mistake involves the date of birth section. It is essential to enter the correct date in the specified format. A simple mix-up with the month or day can lead to significant issues, especially when verifying your identity. Additionally, some individuals neglect to double-check their Social Security number. Any discrepancies here can raise red flags and delay the issuance of a new driver's license or ID.

People often overlook the importance of providing their current address accurately. This is crucial, as the address on the form must match your official identification documents. Failing to do so can result in a rejection of your application. Furthermore, not indicating a previous address when applicable can lead to further complications. Always ensure that the beginning and end dates of residence are clearly marked.

When detailing how the fraud occurred, many individuals forget to check all relevant boxes. This section requires careful attention to ensure that all aspects of the fraud are covered. Leaving boxes unchecked may lead to incomplete information, which can affect the investigation. Additionally, failing to provide a clear and detailed description in the comments section can hinder law enforcement's ability to assist you effectively.

Another mistake that can be easily avoided is not including the law enforcement actions taken. It is essential to report the fraud to the police and obtain a report. Some people mistakenly think that they can skip this step, but without documentation from law enforcement, the process may stall. Ensure that all agency details, including officer names and report numbers, are filled out accurately.

Lastly, individuals sometimes forget to sign and date the form. This may seem trivial, but without a signature, the form is not valid. Additionally, remember to have the affidavit notarized as required. Neglecting this step can lead to further delays. Always double-check that all required signatures are in place before submitting the form.

By being mindful of these common pitfalls, you can streamline your experience with the Colorado DR 2153 form. Taking the time to review your application before submission can save you from unnecessary complications and ensure that your new driver's license or ID is processed efficiently.

Documents used along the form

The Colorado DR 2153 form is essential for victims of driver's license or ID theft to apply for a new license or ID number. However, several other documents are often required or beneficial in conjunction with this form. Below is a list of these documents, each serving a specific purpose in the process.

  • Police Report: This document serves as official evidence of the theft or fraud. It is crucial to file a report with law enforcement, as the DR 2153 form requires a copy of this report to be submitted alongside the affidavit.
  • Identity Theft Report: This report can be filed with the Federal Trade Commission (FTC) and may help victims in disputing fraudulent charges or accounts. It provides a comprehensive record of the identity theft incident and can be used to support claims with creditors.
  • Affidavit of Fraud: This document may be needed when disputing fraudulent transactions with banks or credit companies. It outlines the details of the fraudulent activity and confirms that the victim did not authorize the transactions.
  • Credit Report: Obtaining a copy of your credit report is essential for monitoring any unauthorized accounts or inquiries. Victims can request a free credit report from each of the three major credit bureaus once a year.
  • Letter to Creditors: This letter is used to notify creditors of the identity theft and request the closure of fraudulent accounts. It helps in protecting the victim's credit and preventing further damage.

Gathering these documents will strengthen your case and assist in navigating the complexities of identity theft recovery. Each document plays a vital role in ensuring that victims can effectively reclaim their identity and protect their financial future.

Similar forms

The Colorado DR 2153 form, which is an affidavit of driver's license or ID theft, shares similarities with several other documents related to identity theft and fraud. Below is a list of nine documents that are comparable in purpose and function:

  • Identity Theft Report: This document is filed with law enforcement and serves as an official record of identity theft incidents. Like the DR 2153, it requires details about the victim's identity and the nature of the fraud.
  • Fraud Affidavit: This affidavit is used to report fraudulent activity, similar to the DR 2153. It often includes a declaration of the victim's identity and the fraudulent transactions that occurred.
  • Credit Bureau Fraud Alert: Victims can place a fraud alert on their credit reports to warn creditors of potential identity theft. This action parallels the DR 2153's purpose of protecting the victim's identity.
  • Police Report: A police report documents the crime and is often required alongside the DR 2153. It provides law enforcement's acknowledgment of the identity theft incident.
  • Identity Theft Protection Plan: Many individuals enroll in protection plans that monitor their personal information. This is similar to the DR 2153 in that both aim to mitigate the effects of identity theft.
  • Social Security Administration Identity Theft Report: This report is specifically for cases involving the misuse of a Social Security number, akin to the DR 2153's focus on personal identification theft.
  • Fraudulent Transaction Dispute Form: This form is used to dispute unauthorized transactions on accounts. It serves a similar function to the DR 2153 by documenting fraudulent activity.
  • Victim Impact Statement: This document allows victims to express the emotional and financial impact of identity theft. It complements the DR 2153 by providing a personal account of the consequences of fraud.
  • Affidavit of Forgery: This affidavit is used when a victim's signature has been forged. It shares similarities with the DR 2153 in terms of requiring a sworn statement about identity misuse.

Dos and Don'ts

When filling out the Colorado DR 2153 form, it is important to follow specific guidelines to ensure your application is processed smoothly. Here are some essential dos and don'ts:

  • Do provide your full legal name accurately as it appears on your identification.
  • Do include all relevant personal information, such as your date of birth and Social Security number.
  • Do check all boxes that apply to how the fraud occurred.
  • Do sign and date the affidavit before a notary public.
  • Don't submit false information; it can lead to serious legal consequences.
  • Don't forget to attach a copy of the police report along with your affidavit.
  • Don't mail or fax the form; it must be delivered in person to a driver's license office.

Following these guidelines will help ensure that your application is complete and accurate. If you have any questions, do not hesitate to reach out for assistance.

Misconceptions

Understanding the Colorado Dr 2153 form is essential for victims of identity theft seeking to regain control over their personal information. However, several misconceptions often arise regarding this document. Below are eight common misunderstandings along with clarifications.

  • This form can be submitted online. Many believe that the Colorado Dr 2153 can be filled out and submitted electronically. In reality, this form must be completed in person at a driver's license office.
  • Only victims of theft can use this form. Some think that the Dr 2153 is only for those whose identification was physically stolen. However, it is applicable to anyone whose personal information has been misused, even if their physical documents were not taken.
  • Notarization is optional. A common misconception is that notarization is not necessary. In fact, the form must be notarized to be considered valid, ensuring that the information provided is sworn under oath.
  • Police reports are not required. Many individuals assume that they can submit the Dr 2153 without a police report. This is incorrect; a police report must accompany the affidavit to support the claim of identity theft.
  • Filing this form guarantees a new driver's license or ID. Some believe that simply submitting the Dr 2153 will automatically result in a new identification number. While it initiates the process, approval is contingent upon the review of the provided documentation.
  • All personal information must be disclosed. There is a misconception that every detail about the victim's identity must be shared. While it is important to provide relevant information, victims should only disclose what is necessary to support their claim.
  • This form is only for Colorado residents. Some individuals think that the Dr 2153 is limited to Colorado residents. However, it can also be used by anyone whose identity has been compromised in Colorado, regardless of their current residence.
  • Once submitted, the matter is resolved. Many assume that submitting the form will immediately resolve their identity theft issues. In reality, ongoing vigilance is necessary. Victims should monitor their accounts and credit reports even after filing.

Being informed about these misconceptions can empower victims of identity theft to navigate the process more effectively. Understanding the requirements and implications of the Colorado Dr 2153 form is a crucial step toward reclaiming one’s identity.

Key takeaways

When dealing with identity theft in Colorado, filling out the DR 2153 form is a crucial step. Here are some key takeaways to help you navigate the process effectively:

  • Complete the Form Accurately: Ensure that all sections of the DR 2153 form are filled out completely and accurately. Incomplete or incorrect information may delay your application.
  • Notarization is Required: This form must be notarized before submission. Make sure to have it signed by a notary public to validate your affidavit.
  • Attach Supporting Documentation: Include a copy of the police report along with the completed form. This documentation is essential for the processing of your application.
  • Do Not Mail or Fax: The completed form should not be mailed or faxed. Instead, deliver it in person to a driver’s license office.
  • Understand the Consequences of False Information: Submitting false information on this form can lead to serious legal repercussions, including criminal charges for perjury.
  • Keep Copies for Your Records: Make copies of the completed form and any attached documents for your own records before submission. This can be helpful for future reference.

By following these guidelines, you can ensure a smoother process in addressing identity theft and obtaining a new driver's license or ID in Colorado.