Co dr2219 form - denvergov 2026

1. Click ‘Get Form’ to open the Co dr2219 form in the editor.
2. Begin by entering the name of the person with a disability in the designated field. Ensure that you type or print clearly.
3. Fill in the address, city, state, and ZIP code of the applicant. Accuracy is crucial for processing.
4. In the certification section, confirm your responsibility for using the placard by signing and printing your name as required.
5. Select the appropriate identification type for yourself or your representative and provide the ID number along with its expiration date.
6. Indicate whether the applicant is mobility impaired by checking one of the boxes provided based on qualifying criteria.
7. Have a licensed physician complete their section, including their signature and medical license number, confirming the applicant's condition.
8. Review all entries for accuracy before submitting your completed application to your local county motor vehicle office.

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