Claim for a Driver's License Fee Refund
MINNESOTA DEPARTMENT OF PUBLIC SAFETY
DRIVER AND VEHICLE SERVICES
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If you have questions or need additional information, please contact DVS at (651) 297-3298 or (651) 282-6555 (TTY).
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Where applicable, please submit copies of receipts as proof of payment.
Date of Birth (mm/dd/yy)
Name (LAST, FIRST, MIDDLE INITIAL)
Street Address
City / State / Zip Code
County
DL Number (
OMIT DASHES)
A General Information (PLEASE PRINT)
B Type of Refund
Reinstatement Fees
Other Fee
Instruction Permit Fees
Motorcycle Fees
Identification Card Fees
Driver's License Fees
Please explain the reason for your request:
Signature of Applicant
Date (mm/dd/yy)
OFFICE USE ONLY
Date Approved
Amount Approved
Approved By
PS31081-01 (5/10)
Print this completed form. This form can be mailed or submitted in person to
Driver and Vehicle Services, 445 Minnesota Street, St. Paul, Minnesota
55101-5162. It may also be faxed to (651) 296-2787.
