Petition for Cancellation of Noise/Nuisance Regulations Form

Grandparents License Plate Petition

Please complete the form to sign the Colorado Grandparents License Plate petition.
Proposed Group Special License Plate Name: Grandparents – LOVE THAT LIFTS US
Nonprofit Name: Wezesha Dada Center (WDC)

The “Grandparents – LOVE THAT LIFTS US” specialty license plate honors the meaningful bond between grandparents and grandchildren. Proceeds from this plate will support grandparents and kinship caregivers through a dedicated fund that helps keep families stable and children connected to their loved ones.

By signing below, you affirm that you are a Colorado resident and a registered motor vehicle owner who supports the creation of this specialty license plate so it can move forward in the state approval process. Your information will only be used for petition verification by the Colorado DMV.

Instructions: Please complete all fields and provide your full legal signature. Only Colorado residents age 18 or older who own a registered motor vehicle may sign this petition.
Full Name*

First NameLast Name
Signature*

Clear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Colorado County *
Adams, Arapahoe, Denver, etc
Should be Empty:

Grandparents License Plate Petition