Kansas Department of Revenue
Application to Modify Suspension
(Failure to Comply with a Traffic Citation)
Applicant Information:
________________________________________________________________________________________________
(Printed Name) (Driver’s License Number) (Date of Birth)
________________________________________________________________________________________________
(Current Street Address) (City) (State) (Zip)
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 $25 application fee is nonrefundable. I further
certify all information I have recorded on this application is true and correct.
______________________
___________________________________________________ _____________________
(Signature) (Date)
Instructions
• You may apply to the Division of Vehicles for a determination on whether you are eligible to have your driving
suspension for failure to comply modification to a driving restriction for limited purposes. To be eligible for this
modification you must meet all of the following criteria, otherwise your request will be denied:
o You must be licensed in Kansas;
Your driving privileges are not currently withdrawn for other violations that are unrelated to your failure to
comply;
Your driving privileges are not currently withdrawn for failure to comply with violations in another state/
jurisdiction; and
Your driving record does not contain a stayed suspension period originating from a driving while
suspended conviction.
o
o
o
•
You will receive written notice of your application being approved or denied. Allow 7-10 business days to process
after your application is received. If approved, you will receive a restricted notice (Form DC-24L) indicating the
length and detail of your restriction. The duration of the restriction time will be no greater than 1 year. If you are
able to resolve the underlying failure to comply notice, the restrictions imposed here will be removed upon notice
from the court. The restrictions are as follows:
o To and from work or school
To and from drug or alcohol counseling
To and from an appointment with a healthcare provider or during a medical emergency
In the course of your employment
Any place you are required to go by a court
o
o
o
o
• If you are a commercial licensed driver and your commercial driving privileges are currently disqualified for failure
to comply, the restriction will apply toward
both your regular and commercial driving privileges. For all other
violations, your commercial driving privileges will remain disqualified.
• If the application is denied, you will be notified with the reason(s) for the denial.
• The failure to comply with a traffic suspension means failure either to:
o Appear before any district or municipal court in response to a traffic citation and pay in full any fine and
court costs imposed; or
o Otherwise comply with a traffic citation. (K.S.A. 8-2118)
• The failure to comply with a traffic citation may result in a misdemeanor conviction, regardless of the disposition of
the charge for which such citation was originally issued. (K.S.A. 8-2110(a))
DC-1020 (Rev. 3/17)
