DR 2285 (11/29/18)
COLORADO DEPARTMENT OF REVENUE
Division of Motor Vehicles
P.O. Box 173350
Denver, CO 80217-3350
Change of Address
Pursuant to C.R.S. 42-2-119 and C.R.S. 42-2-307
Write your new address legibly on the back of your license. Return this document to your nearest Colorado Driver’s License Ofce,
submit the form online at http://mydmv.colorado.gov or mail completed form in an ENVELOPE to the address listed above.
Note: Vehicle Registration address changes must be done in the county motor vehicle ofce in the county in which you reside.
The information you provide below will be used to keep your voter registration up-to-date or register you to vote, unless
you decline by checking this box.
If you want to register to vote at this time, please complete and sign the bottom portion of this form.
Name (rst, middle, last) Date of Birth
Sex
M
F
X
Driver’s License Number or I.D. Number
New Resident Address Date Moved
City State ZIP Code County
New Mailing Address (if different from resident address)
City State ZIP Code County
Former Resident Address
City State ZIP Code County
Former Mailing Address (if different from former resident address)
City State ZIP Code County
I swear and afrm, under penalty of perjury that the above information is true and correct.
Applicant’s Signature (For Change of Address Only) Date
For Voter Registration
Are you a U.S. citizen? (Required)
Yes
No (If you’re not a U.S. citizen, you’re not eligible to register to vote)
Do you want to choose a political party afliation (required to participate in a party caucus)?
American Constitution Democratic Green Libertarian Republican Unafliated Unity Approval Voting
If “Unafliated,” you can choose which ballot to receive in the next primary election, or select “Receive all major party ballots.”
American Constitution Democratic Green Libertarian Republican Unity
Receive all major party ballots Approval Voting
I want to receive email reminders from my local election ofce about upcoming elections (print email address):
Afrmation
Warning: A violation of the self-afrmation you are about to make is a criminal act under the laws of this state and will subject you to the
penalties provided by law. It is a Class 1 Misdemeanor to swear or afrm falsely as to your qualications to register to vote.
I am aware that if I register to vote in Colorado I am also considered a resident of Colorado for motor vehicle registration and operation
purposes and for income tax purposes.
I afrm that I am a citizen of the United States; I have been a resident of the state of Colorado for at least twenty-two days immediately prior
to an election in which I intend to vote; and I am at least sixteen years old and understand that I must be eighteen years old to be eligible
to vote. I further afrm that my present address as stated herein is my sole legal place of residence, that I claim no other place as my legal
residence, and that I understand that I am committing a felony if I knowingly give false information regarding my place of present residence. I
certify under penalty of perjury that I meet the registration qualications; that the information I have provided on this application is true to the
best of my knowledge and belief; and that I have not, nor will I, cast more than one ballot in any election.
Signature or Mark (For Voter Registration Only) Date *Witness Signature Date
* If you are unable to sign, you must make a mark and a witness to the mark must sign here.
