DE-98 (Rev. 8/21)
Driver’s License
300 SW 29
th
Street
PO Box 2188
Topeka KS 66601
Division of Vehicles
Phone: 785-296-3671
Fax: 785-296-0691
www.ksrevenue.org
Mark A. Burghart, Secretary
Permission Affidavit for Kansas Credential
I certify that I am the parent or guardian of the below-named applicant and that he/she has my
permission to obtain a Kansas credential.
Applicant Name: __________________________ DOB: __________ DL# _________________
Signature of Parent/Guardian: ______________________________ DL# _________________
Driving Time Certification
I certify that I am the parent or guardian of the above-named applicant and that he/she has
completed at least 50 hours of supervised driving (with at least 10 of those hours at night) with
a licensed adult 21 year of age or over.
Signature of Parent/Guardian: _______________________ DL# __________ Date: __________
Farm Permit
Parent Certification
I certify that I am the parent or guardian of the above-named applicant and that he/she lives
on a farm consisting of 20 or more acres that is used for agricultural purposes.
Signature of Parent/Guardian: _______________________ DL# __________ Date: __________
Employer Certification
I certify that I am the employer of the above-named applicant and that he/she works on a farm
consisting of 20 or more acres that is used for agricultural purposes.
Signature of Employer: _____________________________ Employer DL# _______________
Signature of Parent/Guardian: _______________________ DL# __________ Date: __________
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