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 DR 2643 Affidavit of Enrollment Level II Drug and Alcohol Education and Treatment If You Are Using a Screen Reader or Other Assi 2023-2025

2023-2025 Form

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Understanding the DR 2643 Affidavit Of Enrollment Level II Drug And Alcohol Education And Treatment

The DR 2643 Affidavit Of Enrollment Level II Drug And Alcohol Education And Treatment is a crucial document for individuals required to participate in drug and alcohol education programs in Colorado. This affidavit serves as proof of enrollment in a state-approved Level II education and treatment program, which is often mandated following specific legal circumstances, such as DUI offenses. The form captures essential information about the individual, the program, and compliance with state regulations.

How to Obtain the DR 2643 Affidavit

To obtain the DR 2643 Affidavit, individuals can visit the Colorado Department of Revenue's official website or contact their local motor vehicle office. The form is typically available for download in PDF format, allowing users to print and fill it out. Additionally, some treatment providers may offer the affidavit directly to participants upon enrollment in their programs.

Steps to Complete the DR 2643 Affidavit

Completing the DR 2643 Affidavit involves several key steps:

  • Gather necessary personal information, including your full name, address, and driver's license number.
  • Provide details about the Level II drug and alcohol education program, including the program name and contact information.
  • Sign and date the affidavit to confirm the accuracy of the information provided.
  • Submit the completed affidavit to the appropriate authority, typically the Colorado Department of Revenue or your local motor vehicle office.

Legal Use of the DR 2643 Affidavit

The DR 2643 Affidavit serves a legal purpose by demonstrating compliance with state-mandated drug and alcohol education requirements. It is often required for reinstating a driver's license after a suspension related to substance abuse. Failure to submit this affidavit may result in continued suspension of driving privileges or additional legal penalties.

Key Elements of the DR 2643 Affidavit

Important elements of the DR 2643 Affidavit include:

  • Personal Information: Full name, address, and driver's license number of the individual.
  • Program Details: Name and contact information of the Level II education and treatment program.
  • Signature: A declaration that the information provided is accurate and truthful.
  • Date: The date of completion of the affidavit.

State-Specific Rules for the DR 2643 Affidavit

In Colorado, specific rules govern the use and submission of the DR 2643 Affidavit. These rules include deadlines for submission, acceptable forms of enrollment verification, and the consequences of non-compliance. It is essential for individuals to familiarize themselves with these regulations to ensure proper adherence and avoid penalties.

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