The form whose title says insurer and whose first three pages are an owner's. It is how a salvage or nonrepairable certificate is applied for in Colorado, and an owner who keeps a written-off vehicle after a settlement, or who wants to sell one as salvage, files pages one to three. Page four is the part the name refers to, and it is only required to be completed when an insurance company or salvage pool is applying for title without a properly endorsed ownership document.
Written against DR 2410 (04/16/26), issued under C.R.S. 42-6-110(1.5) and 42-6-102(15), (17).
Selling a written-off car privately without applying for a salvage certificate first leaves the buyer holding a vehicle they cannot register. The department's own instruction to an owner who plans to sell a salvage vehicle is to apply for the salvage certificate before the sale or transfer.
Two documents, and they are not the same thing. Take the blank DR 2410 from the dmv.colorado.gov copy so you get the revision that is current today.
This is all 4 pages of the actual DR 2410, rendered from the PDF the Colorado Department of Revenue, Division of Motor Vehicles publishes and completed end to end: letterhead, every field, and the blocks at the foot.
Amber — you write it
Grey — not yours to fill
Numbered — explained below
Page 1 of 4. Salvage rather than nonrepairable, the vehicle in full detail, the date and reason for the damage, and the estimated cost of repair excluding paint.Page 2 of 4. The owner's certification - damaged in excess of fair market value, no liens outstanding, and no registration until a Rebuilt from Salvage certificate is issued - with identification and a witness.Page 3 of 4. The joint tenancy block, left entirely alone because one person owns this vehicle. Neither box ticked is itself an answer: the certificate issues as tenancy in common.Page 4 of 4. The section the form is named after. An insurer, an authorized agent of an insurer or a salvage pool fills this in when the owner never sent the endorsed certificate back; an owner leaves every line of it empty.
Field by field
Every line, in the order you meet it
1
You fill this in
Salvage Title or Non-repairable Title
One of two boxes at the head of page one.
Watch out: Nonrepairable is a one-way door. It marks the vehicle as a source of parts or scrap and no amount of later work turns it back into something registrable.
2
You fill this in
The vehicle description
Identification number, year, make, model, odometer reading and indicator, body, colour, empty weight, size, fuel type, date purchased and MSRP.
Watch out: The odometer indicator is the same three-way choice as everywhere else, and a flooded or burnt vehicle whose dash no longer reads is exactly what Not Actual is for.
3
You fill this in
Date of Damage and Reason for Damage
The date, then one of Accident/Collision, Fire, Flood, Vandalism, Weather excluding hail, or Other excluding theft.
Watch out: Weather and Other both carry an explanation requirement, and both exclude something - hail from the first, theft from the second.
4
You fill this in
Damage Explanation and Estimated Repair Cost
A written description, then the cost of repair excluding paint.
Watch out: Excluding paint is not a rounding instruction. The comparison the certification makes is between the repair cost and the vehicle's reasonable fair market value before the damage.
5
You fill this in
Legal name and the identification mismatch box
Your name as identification prints it, and a tick box declaring that it differs from the name on the application or title.
Watch out: Tick it honestly and put the statement of one and the same in the packet. This form flags the mismatch for you rather than waiting for a clerk to find it.
6
You fill this in
The certification, identification and witness
A signature under a certification made under penalty of perjury in the second degree, then identification details and a witness's printed name, signature and date.
Watch out: You are certifying that there are no liens outstanding. If a lender is still recorded, the release has to be dealt with before this can honestly be signed.
7
Somebody else fills this in
Page four is not yours
The insurer's section - vehicle acquired from, date of settlement acceptance, attempts to contact the owner of record, notices mailed and how many.
Watch out: Leave it entirely blank. It exists for the case where an insurer cannot get a properly endorsed certificate out of an owner, which is the opposite of what an owner filing this is doing.
At a glance
What goes where
On the form
What to put in it
Application for
Two boxes at the top - Salvage Title or Non-repairable Title. A nonrepairable may only be issued to vehicles designated as a source of parts or scrap.
Vehicle Identification Number, Year, Make, Model, Odometer Reading and Indicator
The description block, identical in shape to the ordinary title application.
Its own box, and it is the date the whole application hangs on.
Reason for Damage
Six choices: Accident/Collision, Fire, Flood, Vandalism (Trespass), Weather excluding hail with an explanation, and Other excluding theft with an explanation.
Damage Explanation and Estimated Repair Cost
A free-text box, then the estimated cost of repair excluding paint, in dollars.
Legal Name(s) as it Appears on Identification
With a starred note that a statement of one in the same is required where the name on the identification differs, and a tick box to declare that it does.
The owner's certification
That the vehicle has been damaged in excess of the reasonable fair market value by an event as listed above, excluding hail damage; that it is now considered salvage; that there are no liens outstanding; and that it cannot be registered until repaired to the standard of a roadworthy vehicle and a Rebuilt from Salvage certificate has been issued.
Secure and Verifiable ID and the witness
Colorado DL, Colorado ID or Other with a number, expiry and date of birth, then a witness printed name, signature and date.
Page three - the joint tenancy block
Owner One and Owner Two, each with a print name, the two tenancy boxes and a signature, under the same default rule as elsewhere.
Page four - the insurer's section
Vehicle description again, applicant's name and address, Vehicle Acquired From, Date of Settlement Acceptance, a box describing attempts to contact the owner of record to obtain the properly endorsed certificate of ownership, Notice Mailed To with Owner, Lienholder and Other boxes, the number of written attempts and the dates mailed.
What gets this one rejected
•Hail damage. The certification excludes it in terms, twice.
•An owner completing page four. That section is for an insurer, an authorized agent of an insurer or a salvage pool applying without a properly endorsed ownership document.
•A nonrepairable application on a vehicle somebody intends to repair. Nonrepairable is for a source of parts or scrap and the designation cannot be undone.
•A vehicle classified as a collector's item, horseless carriage or street rod at the time of damage. The form excludes all three from salvage titling.
•An outstanding lien. The owner's certification says there are no liens outstanding against this vehicle.
•Driving it afterwards. A salvage vehicle cannot be on the road until it has been repaired and a Rebuilt from Salvage certificate has been issued.
Rules that decide whether it is accepted
•An insurer has thirty days before this section opens to them. The statute lets an insurer, salvage pool or agent apply on this declaration where they have been unable to obtain the properly endorsed certificate within thirty days following acceptance of a total-loss settlement offer.
•The insurer's route needs a duplicate title fee. Page four states the title fee for that type of transaction is $8.20.
