• Beginning July 1, 2011, you may apply to the Division of Vehicles for a determination on whether you are eligible to have your
driving privilege suspension or revocation modified to a restriction to operating a motor vehicle equipped with an ignition
interlock device for limited driving purposes.
• To be eligible for the modification, your driving privileges must be suspended for one year as provided in
subsection (a), (b) or
(c) of K.S.A. 2011 Supp. 8-1014, and amendments thereto. If your suspension results from refusal of a chemical test, after 90
days of such suspension, you may apply to the division for your driving privileges to be restricted.
If your suspension results
from a test failure or alcohol or drug-related conviction, after 45 days of such suspension, you may
apply to the division for
your driving privileges to be restricted.
•
If your suspension or revocation was imposed or occurred prior to July 1, 2011:
Beginning July 1, 2011, you may apply to: 1) modify the current suspension or revocation against your driving privileges due to
a DUI conviction, chemical test failure or chemical test refusal (imposed or occurring prior to July 1, 2011); and 2) determine
whether you are eligible to have your driving privileges restricted to operating a motor vehicle equipped with an ignition
interlock device for limited driving purposes after serving a mandatory period of suspension days. Beginning July 1, 2012, you
may apply to modify your current ignition interlock restriction period to receive credit for previously served suspension or
revocation time served in excess of one year.
The basis for suspension or revocation must spring from K.S.A. 2011 Supp. 8-
1014, or amendments thereto.
While an approved modification may permit the applicant to operate a vehicle equipped with ignition interlock for limited driving
purposes, in lieu of suspension, the applicant should be aware that the subsequent ignition interlock period with full driving
privileges may also be revised (potentially adding more ignition interlock time) if the applicant does not satisfy the
requirements required for credit set out in Sec. 16(g) of House Substitute for SB 60 (2012). The requirements for crediting
served suspension time (exceeding the first year of suspension) against the ignition interlock restriction period, are: 1) the
applicant’s driving record indicates no driving by the applicant during the applicable suspension or revocation period; 2) the
applicant completes this form indicating that the applicant did not drive during the applicable suspension or revocation period;
and 3) the applicant pays the appropriate fee.
• You will receive written notice of your application being approved or denied. If approved, you will be required to provide proof
of installation of a State-approved ignition interlock device before a restricted driver’s license is issued. If the application is
denied, the reason(s) for the denial will be stated.
• Not all applicants will be eligible for modification to the new suspension and restriction framework. Retroactive modification of
previously imposed suspensions and revocations will only apply to those applicants that are solely suspended or revoked for a
DUI conviction, chemical test failure, or chemical test refusal. Reasons for the denial of an application may include, but not be
limited to, the following suspension types existing on the applicant’s record: 1) failure to appear in court on a traffic citation; 2)
conviction for failure to maintain required liability insurance coverage on a vehicle at the time of an accident or traffic stop; 3)
5)-1015 (Rev. 8/1DC
___________________
_____________________________________________________ _____________________
Kansas Department of Revenue
Application to Modify Alcohol Related Suspension or Revocation
www.ksrevenue.gov
Applicant Information:
________________________________________________________________________________________________
(Printed Name) (Driver’s License Number) (Date of Birth)
________________________________________________________________________________________________
(Current Street Address) (City) (State) (Zip)
If your suspension or revocation was imposed or occurred prior to July 1, 2011, answer the question
below:
Have you operated a vehicle while you were suspended or revoked? Yes No
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 $100 application fee is nonrefundable. I
further certify all information I have recorded on this application is true and correct.
(Signature) (Date)
Instructions
