Fill a Valid Colorado Dr 2153 Form

The Colorado DR 2153 form is an official document provided by the Colorado Department of Revenue's Division of Motor Vehicles Investigations Unit. It serves as an affidavit for individuals who have fallen victim to driver's license or identification card theft, enabling them to apply for a license or ID with a new number (Personal Identification Number). Completing this form, which must be notarized, and submitting it alongside a police report to a driver’s license office is a critical step in protecting victims' identities and assisting in the prosecution of the perpetrator.

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In today's digital age, identity theft is a rampant issue that can lead to a multitude of problems, one of which includes the fraudulent use of personal information to obtain or misuse driver's licenses and identification cards. To combat this, the state of Colorado has instituted a vital tool: the DR 2153 form. Administered by the Colorado Department of Revenue’s Division of Motor Vehicles and its Investigations Unit, this form serves as an affidavit for victims of driver's license or ID theft. It outlines a clear and structured process for individuals to officially declare that their identification documents have been stolen or misused without their consent. The form requires victims to provide comprehensive personal information, details on how the theft or fraud occurred, and any knowledge of the perpetrator(s), alongside the imperative step of including a police report when submitting the document to a driver’s license office. A significant feature of the DR 2153 form is its dual purpose: not only does it facilitate the issuance of a new driver's license or ID number (PIN) for victims, but it also carries a legal weight, warning users that providing false information can lead to criminal prosecution for perjury. This essential document underscores Colorado's commitment to protecting its citizens from the repercussions of identity theft, emphasizing the importance of integrity in the process of rectifying such situations.

Colorado Dr 2153 Example

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.
		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 ___________________

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Document Properties

Fact	Detail
Form Number	DR 2153
Effective Date	11/13/07
Administering Agency	Colorado Department of Revenue, Division of Motor Vehicles, Investigations Unit

Guide to Writing Colorado Dr 2153

Filling out the Colorado DR 2153 form is a structured process meant to address instances of driver's license or ID theft, assisting victims in applying for a new license or ID number while providing crucial information to aid investigation efforts. Following the accurate steps ensures the form is appropriately completed and ready for submission alongside the requisite documentation.

Begin by writing your full legal name (first, middle, last, and any suffix such as Jr., Sr., III) as prompted in the "VICTIM IDENTIFICATION" section.
If your name was different at the time the described events took place, enter that name in the next field, including first, middle, last, and any applicable suffix.
Enter your date of birth, social security number, and your current driver's license or identification card number (PIN).
Move to the "CURRENT ADDRESS" section and provide your address, state, city, and ZIP code. Include the month and year you began residing at this address.
If your address was different when the events described occurred, fill in the "ADDRESS (IF DIFFERENT FROM ABOVE)" section with the previous address, city, state, and ZIP code, including the beginning and end dates of residence.
Provide your current daytime and evening telephone numbers.
In the "HOW THE FRAUD OCCURRED" section, check all statements that apply to your situation among items 1-6 and specify the date when your identification documents were stolen or lost, as applicable.
If known, list the name(s), address(es), and phone number(s) of the person(s) who used your information without your authorization, including any additional information that could be helpful.
In case you do not know who used your information, check the box indicating so.
Add any additional comments that might support the investigation in the space provided or attach additional pages if necessary.
In the "VICTIM’S LAW ENFORCEMENT ACTIONS" section, signify your willingness to assist in the prosecution by signing the form and indicate if you have reported the events to the police or other law enforcement agency, including the details of the report(s).
List any supporting documentation you are providing with your affidavit, ensuring you attach copies and not the original documents.
Read and understand the declaration under penalty of perjury at the bottom of the form. Sign and date the form in the designated area.
The form must be notarized, so ensure a Notary Public signs it and fills in their commission details at the bottom of the form.
Remember, this completed form, along with the police report, should be taken directly to a driver's license office and should not be mailed or faxed.

Accurately completing and submitting the DR 2153 form is crucial for ensuring a prompt response to the theft of your driver's license or identification card. As every detail counts in the investigation and recovery process, taking the time to fill out this form carefully and thoroughly can significantly assist in rectifying the situation and safeguarding your identity.

Your Questions, Answered

What is the Colorado DR 2153 form used for?

The Colorado DR 2153 form is specifically designed for individuals who believe they have been victims of driver's license or identification card theft. It allows these individuals to formally declare that their personal information has been used without their consent to obtain money, credit, loans, goods, or services. By completing and submitting this notarized form, along with a police report, to a driver's license office, victims can apply to have their license or ID number changed, effectively getting a new Personal Identification Number (PIN) to help protect against further misuse of their identity.

Do I need to bring the DR 2153 form to a DMV office in person?

Yes, the DR 2153 form must be taken, in person, to a driver's license office. It is important not to mail or fax the form. This procedure ensures that the victim's identity can be verified directly by DMV staff, helping to prevent any further fraud. Additionally, presenting the form in person allows for any immediate questions or concerns to be addressed by DMV representatives.

What should I do if I don't know who stole my identity?

If you're unsure who has stolen your identity or used your personal information, you can still complete the DR 2153 form. In the section asking about how the fraud occurred, there's an option to indicate that you do not know the person(s) involved. It's crucial to report all the details you do know, such as when you first noticed the fraudulent activity or any transactions you didn't authorize. This information can assist law enforcement in their investigation, even if you cannot identify the perpetrator.

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

Submitting false information on the DR 2153 form is a serious offense and can lead to criminal prosecution for perjury. The form explicitly warns that knowingly providing incorrect details could result in the cancellation and denial of your driver's license or identification card, according to § 42-2-122, C.R.S. Furthermore, if convicted of perjury in the first or second degree, the Department of Revenue will revoke your driver's license or identification card immediately, as stipulated in § 42-2-125, C.R.S. It's crucial to ensure all information provided on the form is accurate and truthful to the best of your knowledge.

Common mistakes

Filling out the Colorado DR 2153 form, which is an affidavit for reporting identity theft related to a driver's license or ID, requires attention to detail. Here are seven common mistakes that individuals might make during this process:

Not including a police report. One critical step missed is failing to attach a police report, which is necessary for processing the affidavit.
Incomplete identification information. Skipping or partially filling out the section on victim identification details, such as full legal name or current address, can result in the form being rejected or delayed.
Incorrect dates. Misstating the dates related to addresses or when the identity theft occurred can lead to confusion and inaccuracies in the investigation.
Omitting contact details. Not providing current daytime and evening telephone numbers can hinder communication between the victim and the authorities handling the case.
Failing to check the appropriate boxes. Overlooking the section where the victim is supposed to indicate how the fraud occurred, such as whether ID documents were stolen or lost, can leave crucial information out of the affidavit.
Neglecting to list the perpetrator's information. When known, omitting details about the identity thief, including their name, address, and phone number, can slow down the investigation.
Lack of signature or date. Not signing the affidavit or forgetting to date the signature renders the document incomplete and not legally binding.

In order to ensure that the affidavit is processed efficiently and effectively, avoiding these mistakes is crucial. Paying close attention to detail and thoroughly reviewing the form before submission can help prevent these common errors.

Documents used along the form

When dealing with identity theft in Colorado, particularly when using the DR 2153 form to report and address the theft of a driver's license or ID, there are often several other forms and documents that may be required to fully navigate the process. These additional forms and documents serve various purposes, from reporting the theft to law enforcement to restoring one’s financial and personal security. Understanding what these documents are and their functions can significantly ease the stress of dealing with identity theft.

Police Report: A detailed report filed with your local police department or law enforcement agency to officially record the theft of your identity or personal documents.
FTC Identity Theft Report: A document filed with the Federal Trade Commission that helps in documenting the identity theft and disputing unauthorized transactions or accounts opened in your name.
Credit Report Dispute Letters: Written notices sent to credit reporting bureaus (Equifax, Experian, TransUnion) disputing inaccuracies caused by identity theft on your credit report.
Fraud Alerts: Notifications that you can place on your credit reports, alerting potential creditors to verify your identity before extending credit, in an attempt to prevent further fraudulent accounts from being opened.
Credit Freeze Request: A request made to credit bureaus to freeze your credit, preventing creditors from accessing your credit report entirely, which in turn stops new accounts from being opened in your name.
Account Closure or Dispute Forms: Forms submitted to banks or creditors to close any fraudulent accounts opened in your name or dispute fraudulent charges on existing accounts.
IRS Identity Theft Affidavit (Form 14039): A form filed with the Internal Revenue Service if your Social Security Number has been used to fraudulently file tax returns.
DMV Records Request: A request form submitted to the Department of Motor Vehicles to audit or review all transactions recorded under your driver's license number, helping identify any fraudulent activity.

Seeking assistance as soon as identity theft is suspected is critical to preventing further damage. Alongside the DR 2153 form, utilizing these documents can provide a comprehensive action plan to address and rectify the impacts of identity theft. Each of these documents plays a strategic role in ensuring the recovery process is thorough and effective, ensuring victims can reclaim their financial stability and peace of mind.

Similar forms

The Colorado DR 2153 form, which serves as an affidavit for reporting identity theft relating to Colorado driver's licenses or IDs, shares similarities with several other forms and documents that are utilized within and beyond state confines for safeguarding individuals' identities and personal information. Recognized for its function of facilitating a legal process to address the misuse of personal documents, this form resembles others in its foundational purpose of identity protection and the procedural response to identity theft.

The Federal Trade Commission (FTC) Identity Theft Affidavit shares a similar intent with the Colorado DR 2153 form. Much like the Colorado-specific form, the FTC affidavit is designed to help victims of identity theft formally declare the unauthorised use of their information. It encompasses a broader scope, applicable at a national level, enabling victims to dispute unauthorized accounts and transactions beyond Colorado's borders. Detailed in both are sections where the victim outlines how the fraud occurred, checks applicable circumstances of the theft, and provides personal information compromised. Additionally, each requires a notarized signature to verify the victim's claims, underscoring their formal legal significance.

The Identity Theft Passport offered by some states, although not a form per se, acts as a similar document to the Colorado DR 2153 form. Victims of identity theft can obtain this "passport" after reporting the crime to law enforcement and obtaining a police report, a step also necessary for the DR 2153 process. This document serves as evidence that the holder has been a victim of identity theft, providing a means to prevent arrest for crimes committed by the identity thief and to help in the resolution of financial disputes. While it provides physical proof, similar to the desired outcome of the DR 2153 form's process, it further aids in visual verification of the individual's victim status in various situations.

Credit Freeze Requests are another related document type, allowing individuals to restrict access to their credit reports as a preventative measure against identity theft. Like the DR 2153 form, which seeks to rectify issues after identity theft occurs, credit freeze requests are proactive measures individuals can take with credit reporting bureaus to protect their identity. Both are formal requests that involve submitting personal information to a governing body or organization to safeguard the individual's financial and personal security, demonstrating their connected roles in identity protection methodologies.

Dos and Don'ts

Filling out the Colorado DR 2153 form, an Affidavit of Colorado Driver's License or ID Theft, is a crucial step for victims of identity theft. Here's a guide to ensure the process is done correctly and efficiently:

Do carefully read the entire form before filling it out to understand the type of information required.
Don't rush through filling out the form. Incorrect or incomplete information could delay the process.
Do provide as much detailed information as possible about how the fraud occurred and the extent of the fraud. This helps in the investigation and in protecting your identity.
Don't forget to include a police report with your affidavit. This report is crucial in proving the identity theft.
Do check all the boxes that apply to your situation in sections regarding how the fraud occurred and your law enforcement actions.
Don't provide false information. Remember, knowingly submitting false information can result in criminal prosecution for perjury.
Do sign the affidavit in front of a notary public. Your signature needs to be witnessed by a notary to be valid.
Don't mail or fax this form. It needs to be delivered in person to a driver’s license office along with the necessary documents for further processing.

Following these dos and don'ts will help ensure the form is completed accurately, which is essential for protecting your identity and for taking legal steps against the perpetrators. Remember, the process might feel overwhelming, but taking these steps is a strong move towards reclaiming your identity and peace of mind.

Misconceptions

There are several misconceptions about the Colorado DR 2153 form. This form is critical for individuals who have been victims of driver's license or ID theft. Understanding these misconceptions can help navigate the process more effectively.

It is only for lost or stolen IDs: While the form is often used in cases of lost or stolen IDs, its primary function is to report and rectify identity theft situations. This means it is crucial for cases where someone else uses your identity to obtain money, credit, loans, goods, or services without your permission.
You can mail or fax it: The form clearly states that it should not be mailed or faxed. It must be taken, along with a notarized copy and a police report, to a driver’s license office to apply for a license or ID with a new number.
A police report isn’t necessary: Actually, a police report is essential when submitting this form. The form requires you to attach a copy of the report filed with the police or sheriff’s department, emphasizing the legal importance of documenting the identity theft.
The process is immediate: Even with all the correct documentation, including the DR 2153 form and a police report, getting a new driver's license or ID number takes time. The process involves verifying the information and the investigation, which is not instantaneous.
Submitting false information has minor consequences: The form states that knowingly submitting false information could lead to criminal prosecution for perjury. This underlines the seriousness of the document and the importance of providing accurate and truthful information.
It's only for Colorado residents: While the form is issued by the Colorado Department of Revenue, it addresses issues related to Colorado-issued driver’s licenses or ID cards, which can affect individuals who have moved out of state but still hold a Colorado license or ID.
Everyone knows how to fill it out: The DR 2153 form requires detailed information regarding the identity theft, including when and how the fraud occurred and any known perpetrators. Victims may need guidance on completing the form accurately, indicating that not everyone may understand how to fill it out properly without assistance.

Understanding these misconceptions about the Colorado DR 2153 form can help victims of driver's license or ID theft navigate the process with greater clarity and ensure they provide all necessary information to resolve their issues effectively.

Key takeaways

Understanding the Colorado DR 2153 Form: Key Takeaways

The Colorado DR 2153 form is a crucial document for individuals who suspect or have confirmed that their driver's license or ID has been stolen or misused. Compiled below are six essential points to consider when filling out and submitting this form.

Not for Mailing: It's important not to mail or fax the DR 2153 form. Instead, the completed and notarized form, accompanied by a police report, must be submitted in person at a driver’s license office to request a new license or ID number.
Perjury Warning: Filling out the form requires honesty. Submitting false information on this form can lead to criminal prosecution for perjury. The form explicitly states this, reminding filers of the seriousness of the information provided.
Victim Identification Details: Thorough and accurate information is critical. This includes full legal name, date of birth, social security number, address, and contact numbers. If any details have changed since the theft, both current and past information needs to be included.
Details of the Fraud: The form allows victims to specify how their information was misused, including whether their IDs were stolen or lost and if they suspect someone specifically. There's also space for additional comments to provide a comprehensive account of the fraud.
Assistance in Prosecution: By signing the form, victims commit to assisting in the prosecution of the fraudsters. This commitment is vital for the investigation and potentially stopping further misuse of personal information.
Documentation and Support: Victims are encouraged to provide supporting documentation, such as a copy of the police report. Although originals should not be sent, these copies can be crucial in supporting the case and expediting the process of obtaining a new ID or license number.

Completing the DR 2153 form is a step toward safeguarding one's identity and personal information following identity theft. The form not only aids in the immediate resolution of license or ID misuse but also in the broader fight against identity theft. Properly filled, it provides law enforcement with vital information needed to investigate and prosecute those responsible for the fraud.

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