DRIVER’S LICENSE RENEWAL, EXTENSION OR REPLACEMENT …

1 KANSAS DEPARTMENT OF REVENUE. DRIVER'S LICENSE RENEWAL, EXTENSION OR REPLACEMENT . (FOR THOSE RESIDING OUT OF STATE OR COUNTRY). Check what you are applying for: REPLACEMENT (See Instructions) EXTENSION (See Instructions) Renewal (See Instructions) Conceal Carry (See Instructions). Current Driver's LICENSE or ID: _____ Date of Birth: _____ (mm/dd/yyyy). Last Name: _____ First Name: _____. Day Time Phone #: _____ Email Address: _____. Out of State or Country Mailing Address (Must be mailed here). Street: City: _____ State: _____ Zip: Kansas Residence Address (Must be Kansas): Street: City: _____ State: _____ Zip: Do you give your authorization to be listed in the Kansas Donor Registry as an organ, eye and tissue donor?

2 Yes No For more information, please visit Answer the following questions: 1. Is your LICENSE now or has it ever been suspended/revoked in Kansas or any other state? Yes No If so, where? _____ Why? _____. 2. Do you currently have any physical or mental disabilities that could make it difficult to operate a motor vehicle safely? Yes No If so, what are they? _____. 3. Have you suffered a seizure in the last 6 months? Yes No What was the cause? _____. 4. Are you currently a habitual user of alcohol or drugs? Yes No 5. Do you have a pending suspension/restriction/revocation in Kansas or any other state?

3 Yes No If so, where? _____. 6. Are you a resident of the state of Kansas? Yes No 7. Are you lawfully present in the United States? Yes No 8. Do you understand that your answers to these question, if answered falsely, may be grounds for prosecution? Yes No Payment Information (Most Common): Conceal Carry: (Military Only). Regular C (Under 65yrs): $ Conceal Carry: $ Regular C (65yrs and over): $ KS CDL Credential: Regular CM (Under 65yrs): $ CDL (Any Class): $ Regular CM (65yrs and over): $ CDL (Any Class with M): $ REPLACEMENT Driver's LICENSE : $ CDL Endorsements: $ (Per Endorsement).

4 IID Card- Add an Additional: $ School Bus KS Identification Card: Passenger ID Card: $ Double/Triple Disabled or 65 and over ID Card: $ Tanker REPLACEMENT ID Card: $ If paying by credit card, complete the following information (A convenience fee will need to be added): Check One: Visa MC American Express Discover Card Number _____ Expiration Date By signing this form I agree that all of the information above is true and correct: Signature: _____. If you are a male between the ages of 16 and 26, your information will be forwarded to the Selective Service System. For more information go to DEMI-1 (Rev.)

5 0818). KANSAS DEPARTMENT OF REVENUE. DRIVER'S LICENSE RENEWAL, EXTENSION OR REPLACEMENT . (FOR THOSE RESIDING OUT OF STATE OR COUNTRY). INSTRUCTIONS. Must Be Mailed to an Out of State or Country Address If you are turning 21 the year you are requesting a renewal or EXTENSION , be advised that your request for renewal or EXTENSION cannot be processed until your 21st birthday. If your birthday falls on a day that our office is not open, this form will be processed the next business day. Renewal Instructions Military, dependents, missionaries and college students are allowed to renew their Kansas driver's LICENSE through the mail.

6 You are required to submit copies of your Kansas driver's LICENSE and supporting documents. Submit the requested documentation along with a copy of the form and appropriate fee. Supporting Renewal Documents: Current Kansas driver's LICENSE Service member/contractor: Current orders or a recent Leave and Earnings Statement (LES). Other documents may be accepted upon review. Military Dependent: Any of the above documents. If your name does not appear on the form, proof of relationship (birth/marriage certificate) may be submitted. Student: Class schedule, tuition statement or other documentation showing enrollment in the current semester.

7 (Must include name of College or University; must be shown on papers). Missionary: A letter form the organization stating you are currently assigned to a mission, including locations and dates. REPLACEMENT Instructions You must submit copies of two forms of ID. Do not send original documents as they will not be returned to you. Submit the requested documentation along with a copy of this form and the appropriate fee. Acceptable forms of ID are as follows: Photo DL or ID previously issued by Kansas or any other state not expired for more than one year Military ID, dependent identification or CAC card, or military discharge papers 214.

8 Medicare identification card Student or employee identification card with photo. The Division may waive the requirement for furnishing one of the documents in the case of a person who is 65 or more years of age A copy of any federal or state income tax return bearing the signature of the applicant or his/her representative Certified birth certificate (state, county, or city), including territories, and District of Columbia Unexpired United States Passport or Passport Card Consular Report of Birth Abroad Certificate of Naturalization Certificate of Citizenship EXTENSION Instructions One six month EXTENSION can be granted to anyone that is out of state or country when their LICENSE expires.

9 You're required to submit a copy of your driver's LICENSE . There is no fee for an EXTENSION . Military Only Renew or Replace Conceal Carry LICENSE Instructions You must submit the Notice of Approval that you received from the Attorney General's office along with a photo copy of your LICENSE $ fee. For more information regarding Conceal Carry call 785-291-3765 or go to the Attorney General's website at Fees may be paid by money order, check or major credit card. Do not send cash. Make checks payable to KDOR. You can email the completed form and any scanned pdf documents to or mail with payment to: Kansas Department of Revenue Box 2188.

10 Topeka KS 66601-2188.