DE-83 (rev 12/19)
Driver’s License
300 SW 29
th
Street
PO Box 2188
Topeka KS 66601-2188 Division of Vehicles
Mark A. Burghart, Secretary
Driver’s License Voluntary Surrender
Phone: 785-296-3671
Fax: 785-296-0691
www.ksrevenue.org
I, ______________________________ driver’s license number __________________
D.O.B. voluntarily surrender my driving privileges. I understand that I
cannot apply for a new license for at least 90 days from today’s date. If I choose to pursue
driving privileges after 90 days, I understand that I must visit a full-service driver’s license
exam station and complete a vision, written, and drive exam.
___________
______ I hereby surrender my valid driver license. I understand that it will be forwarded
to The Division of Vehicles, Driver’s Licensing.
______ My valid driver license is not in my possession. I understand that effective today
I no longer have the privilege to drive.
Signature: ____________________________________________ Date: ___________________
Note: You cannot voluntarily surrender a license if your privileges are or will be suspended,
revoked, or cancelled.
You may submit this form by mail, email, or by visiting a full-service driver’s license office.
Email: KDOR_DL@KS.GOV
Mail:
Driver Services
PO Box 2188
Topeka, KS 66601
