Memorial Sign Program

Pursuant to § 43-2-149, C.R.S., CDOT has developed the State Memorial Sign (State Memorial) Program to memorialize individuals who have died on Colorado State Highways. This program allows families and friends to honor their loved ones safely while also providing messaging to encourage safe driving.

State Memorials must be requested within five (5) years of the date of the crash. Applications may be submitted by the deceased’s family or agent with the authorization of the deceased’s family and must include a completed attestation.

Only individuals who died due to injuries sustained in a fatal motor vehicle crash, as defined by the NHTSA Fatality Analysis Reporting System (FARS) and which occurred on a State Highway, are eligible for a State Memorial. Up to three names from individuals in the same crash may be included on one State Memorial. Where multiple applications are received for fatalities from the same crash, CDOT has the discretion to install one State Memorial containing multiple names in the interests of safety.

An application fee of $150 is due to CDOT after approval of application to partially cover fabrication, installation, maintenance, and removal costs. Payment information will be sent to the applicant after the application has been reviewed and the State Memorial is approved. CDOT will provide payment information once an application is approved. Please do not send any money until your application is approved and funds are requested.

An applicant may request a nickname to be placed on the State Memorial if space allows. However, CDOT may refuse to issue any combination of letters or numbers that carry connotations offensive to good taste and decency.

State Memorials may only be installed on State highways. CDOT will determine the State Memorial location on the State highway, taking into consideration the crash location, roadway geometry, existing signage, available right of way, and safety concerns. For crashes on all other roads, please contact the local jurisdiction where the crash occurred, as some cities and counties have memorial programs. No State Memorial shall be installed on Interstate highways (i.e. I-25, I-70, etc.). An alternative State Memorial location for fatalities occurring on interstate facilities will be determined by the CDOT regional traffic engineer on another State Highway.

The timing of State Memorial erection and installation are weather and schedule dependent. CDOT is unable to provide installation dates due to changing weather and work schedules.

Due to safety concerns, CDOT cannot grant permission for on-site dedications or ceremonies. Decoration of State Memorials is also prohibited for safety concerns. State Memorials which become a safety concern due to vandalism, decorations, repeated damages, complaints, or other hazards may have the decorations, name plaque, or the entire State Memorial removed at the discretion of the CDOT region traffic engineer.

CDOT will fabricate, install, and maintain the State Memorial for a minimum of two (2) years from the date of initial installation, but no more than the sign’s usable life. When State Memorials are removed, they will be recycled. No time extensions will be granted beyond the initial two (2) years.

At the time of the State Memorial fabrication, if requested by the family or agent on the application, CDOT will provide the applicant with one small replica of the State Memorial for each approved application and paid application fee at no additional cost. Replica State Memorials may be constructed using alternative materials, at the determination of CDOT. No more than one State Memorial replica will be provided. If a written objection from a family member or a living individual involved in the crash and named on the crash report or their guardian is submitted to CDOT, the name plaque may be removed, while leaving the safety message in place at the discretion of the CDOT region traffic engineer. The name plaque will be recycled.

ADDITIONAL REQUIREMENTS FOR “DON’T DRINK AND DRIVE” AND “DON’T DRIVE IMPAIRED” MESSAGES FOR FATAL ALCOHOL/DRUG (DUI) RELATED CRASHES
The official crash report on the DR3447 form, as submitted by law enforcement to the Department of Revenue, must indicate that alcohol or drugs were involved in the crash in order to meet the requirements to use this safety message. Alternatively, the toxicology report may also be used to meet the requirements for this message, if available.

ADDITIONAL SPECIAL REQUIREMENTS FOR “PLEASE BUCKLE UP” MESSAGE FOR UNRESTRAINED FATAL CRASHES
The official crash report on the DR3447 form, as submitted by law enforcement to the Department of Revenue, must indicate that the deceased was unrestrained in the fatal crash in order to meet the requirements for this safety message.

ADDITIONAL SPECIAL REQUIREMENTS FOR “SLOW DOWN FOR WORKERS” MESSAGE FOR WORKERS INVOLVED IN FATAL CRASHES
To meet the requirements of this message, the official crash report on the DR3447 form, as submitted by law enforcement to the Department of Revenue, must indicate the individual was killed while performing their duties while the emergency vehicle lights were activated, or the crash occurred within a marked construction zone. This includes, but is not limited to, construction workers, maintenance workers, flaggers, traffic control supervisors, surveyors, tow truck drivers, snowplow drivers, fire equipment operators, ambulances, and other similar activities.

ADDITIONAL SPECIAL REQUIREMENTS FOR “PLEASE RIDE SAFELY” SIGNS FOR MOTORCYCLE OR BICYCLE RIDERS INVOLVED IN FATAL CRASHES 
To meet the requirements of this message, the official crash report on the DR3447 form, as submitted by law enforcement to the Department of Revenue, must indicate that the person who died was operating or a passenger on a motorcycle or riding a bicycle.

ALL OTHER CRASHES ELIGIBLE FOR “PLEASE DRIVE SAFELY” MESSAGE
All other approved applications for fatal crashes not meeting the requirements for specific safety messages will bear the message “PLEASE DRIVE SAFELY.” Approved applications which do not indicate a preferred message will be manufactured with the “PLEASE DRIVE SAFELY” message.

Program information is available from the:

Colorado Department of Transportation

Traffic Safety and Engineering Services Branch

2829 W. Howard Pl, 4th Floor

Denver, CO 80204

303-757-9654

[email protected]

A State Memorial may be requested using one of the following methods:

  1. Paper Application   
    The State Memorial Application may be downloaded and submitted by mail or email.
    Download the English version of the paper application here. Download the Spanish version of the paper application here.
  2. Electronic Application
    An electronic application may be completed here.

COLORADO DEPARTMENT OF TRANSPORTATION

STATE MEMORIAL APPLICATION

* Indicates a required field.


*Name of person or group applying for State Memorial:
*Daytime phone number:
*E-mail address:
*Mailing address:
*City:
*State:
*Zip Code:
*Date of fatal crash:
*Location of crash (State Highway and Milepost, if known):
*County:
*Deceased's name(s) as they appear on the crash report:
*Deceased's name(s) as they should appear on the State Memorial:
*Investigating law enforcement agency:
Name of the driver on the crash report, if known:
Crash report number, if known:

State Memorial Safety message to be included on the State Memorial.

Please review the disclosure located at the top of this page for additional requirements for each sign message. If no message is selected on the application, the State Memorial will bear the Please Drive Safely message.
(alcohol related fatalities)

Don't Drink and Drive

(alcohol and/or impairing related fatalities)

Don't Drive Impaired

(unbelted fatalities)

Please Buckle Up

(any fatalities)

Please Drive Safely

(motorcycle/bicycle fatalities)

Please Ride Safely

(for worker fatalities while on duty)

Slow Down for Workers


*Preferred State Memorial location:

Actual locations may vary due to physical geography, other signage, and underground utilities. No sign will be installed on interstates.
(provided by CDOT)
(provided by applicant)

Note: If you have a Google account, you may upload a sketch file as an image (.jpg, .png, or .gif) or a portable document format (.pdf) that is no more than 10 MB here. If you would prefer, the sketch may be mailed or email. Please include the name of the deceased in the sketch.

Colorado Department of Transportation

Traffic Safety and Engineering Services Branch

2829 W. Howard Pl, 4th Floor

Denver, CO 80204

[email protected]

*Request of a small replica of the State Memorial:


STATE MEMORIAL AGENT ATTESTATION

Please complete one attestation for each deceased individual as shown on the application, up to three names. If approved, CDOT will bill $150 to the first agent listed below. PLEASE DO NOT SEND ANY MONEY UNTIL SPECIFICIALLY REQUESTED.

FIRST AGENT ATTESTATION

*Name of the first deceased individual as shown on the application:

*Name and relationship of family member(s) who authorized application (write "self" if agent and family member are the same):

*Agent Name:
*Agent Daytime phone number:
*Agent E-mail address:

I have read and understand the information provided on this form and certify that the answers provided are correct to the best of my knowledge. I also certify that I have authorization from the family members of the deceased to apply for a State Memorial on their behalf. To the best of my knowledge, no relative of the deceased will object to the place of the State Memorial. By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.

*Agent Signature:
*Date:

SECOND AGENT ATTESTATION

Name of the second deceased individual as shown on the application:

Name and relationship of family member(s) who authorized application (write "self" if agent and family member are the same):

Agent Name:
Agent Daytime phone number:
Agent E-mail address:

I have read and understand the information provided on this form and certify that the answers provided are correct to the best of my knowledge. I also certify that I have authorization from the family members of the deceased to apply for a State Memorial on their behalf. To the best of my knowledge, no relative of the deceased will object to the place of the State Memorial. By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.

Agent Signature:
Date:

THIRD AGENT ATTESTATION

Name of the third deceased individual as shown on the application:

Name and relationship of family member(s) who authorized application (write "self" if agent and family member are the same):

Agent Name:
Agent Daytime phone number:
Agent E-mail address:

I have read and understand the information provided on this form and certify that the answers provided are correct to the best of my knowledge. I also certify that I have authorization from the family members of the deceased to apply for a State Memorial on their behalf. To the best of my knowledge, no relative of the deceased will object to the place of the State Memorial. By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.

Agent Signature:
Date: