Kansas Department of Revenue
Driver Services Refund Request
Name Date of Birth
License or ID # Social Security #
Today’s Date Date of Transaction Refund Amount
Mailing Address (Checks will be mailed here)
Overpayment
Payment was not needed
Other- please explain below
Reason for Refund Request
Please check this box if you paid using a card that is no longer valid, current, or accessible
Your refund will be processed as a check.
.
FEIN # Required for attorneys requesting the refund.
Please submit a copy of your receipt and this form to Driver Services
Email: KDOR_DC@KS.GOV
Mail: Driver Services
PO BOX 2021
Topeka, KS 66601-2021
Agency Use Only
Date Approved Amount Approved Approving Authority