Victim Services License Plate Submission Form
First Name *
Your answer
Middle Initial
Your answer
Last Name *
Your answer
Address *
Your answer
City *
Your answer
County *
ie Arapahoe, Archuleta, Baca or Boulder - NOT COUNTRY.
Your answer
State Must Be Colorado
Committing to obtain an Aurora Rise - Victim Services license plate when it is time to re-register your vehicle. (Please note that this license plate costs more than a regular license plate.) *
Required
What is 7 + 9? *
Your answer
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This form was created inside of Aurora Rise.