Please list all vehicle accidents you have had of any type in the last 5 years.* Include approximate date(s), location(s), and circumstances for each incident. If you haven't had any incidents please enter "none."
Please list all traffic offenses (excluding parking tickets), including DUI and DWAI, for which you have been ticketed or convicted in the last 10 years.* Include approximate date(s), location(s), and circumstances for each ticket/conviction. If you haven't had any traffic offenses, please enter "none."
Has any driver's license, permit or privilege ever been suspended or revoked?* If yes, please provide approximate date(s), location(s), and circumstances for each incident.
Have you ever been convicted, pled guilty, or pled nolo contendere to a criminal offense or entered into a deferred prosecution or deferred judgement involving a crime?* This includes, but is not limited to, felony, gross misdemeanor, misdemeanor, DUI, etc. Do not include minor traffic violations unless alcohol related. A person is deemed to be convicted of committing a felony or misdemeanor if such person has been convicted under the laws of any other state, the United States, or any territory subject to the jurisdiction of the United States of an unlawful act which, if committed within this state, would be a felony or misdemeanor. CRS 22-32-109.8(7). Convicted means a conviction by a jury or by a court and shall also include the forfeiture of any bail, bond or other security deposited to secure appearance by a person charged with a felony or misdemeanor, the payment of a fine, a plea of nolo contendere, and the imposition of a deferral or suspended sentence by the court. CRS 22-32-109.8(8).
