SIPA Service Request Form

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:
If at any time you need assistance completing this form, please email 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 Digital Government Services

please list desired URL(s) in order in the format
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: Please just include the text after "payment"

if none are needed put in 0.

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