DC-8235 (05-16)
KANSAS DEPARTMENT OF REVENUE
MOPED LICENSE APPLICATION
Applicant Information:
(Name) (Driver’s License Number) (Date of Birth)
(Current Street Address) (Zip) (City) (State)
I, the undersigned, hereby certify I have reviewed all sections of this application and am aware of and agree to the
conditions of this application as detailed within the form. I acknowledge the $40 application fee is nonrefundable. I further
certify all information I have recorded on this application is true and correct.
(Signature) (Date)
Instructions
Not all applicants will be eligible for a moped license. Reasons for the denial of an application
may include, but not be limited to:
1) A current suspension for a DUI conviction or test failure that occurred in a CMV.
2) A habitual violator revocation if the following have been recorded within the last five years:
a test refusal, test failure, any DUI or drug related convictions, or a conviction for fleeing or
eluding Law Enforcement if under K.S.A. 8-1568.
3) Applicant must have served the mandatory suspension period for any previous or
subsequent DUI convictions or test failures on record before being approved. (K.S.A. 8-
1014)
You will receive written notice of your application being approved or denied. If approved, you
will be eligible to go to a Kansas DL Examining Office and take a license examination for a
moped license and pay any required licensing fees to receive your license.
The application fee of $40 must accompany each written application for a moped license
submitted and is nonrefundable. Please make payment by money order, cashier’s check or
personal check. Make checks payable to Kansas Division of Vehicles.
Send this application and $40 fee to:
Division of Vehicles
Driver Solutions
P O Box 12021
Topeka KS 66612-2021
Did you know that you can check the status of your Kansas driving privileges and also view notices
our office has sent to you online and at no charge? The Kansas Department of Revenue website
provides electronic, self-help tools for determining Kansas driver’s license status at:
ksrevenue.org/dlstatuscheck or by downloading the new Mobile App for free on your phone!
