STATE OF COLORADO
COUNTY OF [County]

Introduction:

I/We, [YOUR NAME], residing at [YOUR ADDRESS], hereby affirm and declare the following regarding [Minor's Name], born on [Minor's Date of Birth], who is applying for a Colorado Learner’s Permit:

Statement of Facts:

1. I/We am/are the parents of the aforementioned minor and have legal custody or guardianship that permits me/us to assume responsibilities stipulated in this affidavit.

2. I/We understand and agree to accept legal liability for any property damage or personal injury that the minor may cause or suffer while operating a motor vehicle if the minor is found to be driving negligently or unlawfully.

3. I/We commit to supervising the aforementioned minor’s driving for a minimum of [Number of Supervised Driving Hours, as required by state law] hours, ensuring that this supervised driving occurs in various conditions as mandated by Colorado state regulations.

4. I/We certify that the minor will be insured under an automobile insurance policy that meets or exceeds the minimum liability insurance requirements of the State of Colorado.

Compliance with State Laws:

I/We and the minor will comply with all state laws regarding learner’s permits and the operation of motor vehicles, including, but not limited to, restrictions on driving hours, passenger limitations, and all conditions of the Graduated Driver Licensing (GDL) program.

Truthfulness Declaration:

I/We declare under penalty of perjury under the laws of the State of Colorado that the information provided in this affidavit is true and correct to the best of my/our knowledge, information, and belief.

Signature:

[YOUR NAME]

DATED this [DAY] of [MONTH], [YEAR].

[Notary's Name]

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