SIPA Service Request Form

SIPA Logo
Colorado Statewide Internet Portal Authority (SIPA)

Please complete the following form to request a single service from Colorado SIPA. Learn more about SIPA's services here: https://sipa.colorado.gov/services
If at any time you need assistance completing this form, please email sipa@cosipa.gov or call (720) 409-5636.

Contact Information







Project Sponsor
The Project Sponsor has signing authority for the project. If the person requesting the service is the "sponsor" just leave this section blank.



Type of Service Requested
Colorado.gov Digital Government Services

please list desired URL(s) in order in the format xxx.colorado.gov
Payment Processing Information


Examples: Utilities, Fines, Sales & Use Tax, short term rental fees, permits, etc.

Examples: credit card, ACH, online only, with a credit card reader in the office, PayPal, etc.


please put a $ amount here.

Example: https://secure.colorado.gov/payment/GilpinCounty Please just include the text after "payment"

if none are needed put in 0.

Learn more @ sipa.colorado.gov