Form DC-1015 "Application to Modify Alcohol Related Suspension or Revocation" - Kansas

What Is Form DC-1015?

This is a legal form that was released by the Kansas Department of Revenue - a government authority operating within Kansas. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2015;
  • The latest edition provided by the Kansas Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DC-1015 by clicking the link below or browse more documents and templates provided by the Kansas Department of Revenue.

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Download Form DC-1015 "Application to Modify Alcohol Related Suspension or Revocation" - Kansas

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Kansas Department of Revenue
Application to Modify Alcohol Related Suspension or Revocation
www.ksrevenue.org
Applicant Information:
________________________________________________________________________________________________
(Printed Name)
(Driver’s License Number)
(Date of Birth)
________________________________________________________________________________________________
(State)
(Current Street Address)
(City)
(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
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)
DC
-1015 (Rev. 8/1
5)
Kansas Department of Revenue
Application to Modify Alcohol Related Suspension or Revocation
www.ksrevenue.org
Applicant Information:
________________________________________________________________________________________________
(Printed Name)
(Driver’s License Number)
(Date of Birth)
________________________________________________________________________________________________
(State)
(Current Street Address)
(City)
(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
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)
DC
-1015 (Rev. 8/1
5)
failure to file or maintain evidence of liability insurance on record with the Driver Control Bureau; 4) failure to comply with a
child support order; 5) conviction for driving while suspended; 5) conviction of reckless driving; 6) conviction for failure to stop
and render aid in some circumstances; 7) previous or subsequent DUI conviction or test failure; 8) previous or subsequent
refusal conviction or test refusal; 9) out of state suspension; and/or 10) determined to be a habitual violator.
Proof of the installation of the Ignition Interlock device, for the entire period required by the applicable law, shall be provided to
the Division before the person’s driving privileges will be fully reinstated. Reinstatement requirements relating to, but not
limited to, retesting, reinstatement fees, and proof of insurance also remain as pre-requisites to full re-instatement. Please be
advised, any time spent serving a restriction to ignition interlock with limited driving privileges counts towards required
suspension time and does not count towards unrestricted ignition interlock periods that follow the suspension period.
If you are a commercial licensed driver and your commercial driving privileges are currently disqualified, the modification and
restriction will only apply toward your regular driving privileges. Your commercial driving privileges will remain disqualified.
For first occurrences, limited ignition interlock driving privileges shall permit operation with an ignition interlock device and only
under circumstances provided by subsections (a)(1), (2), (3), and (4) of K.S.A. 8-292. For second or subsequent occurrences,
limited ignition interlock driving privileges shall permit operation with an ignition interlock device and only for the purposes of
getting to and from: work, school or an alcohol treatment program; and the ignition interlock provider for maintenance and
downloading of data from the device.
If this application is denied, any subsequent application will require another $100.00 application fee.
Suspension and ignition interlock periods beginning July 1, 2011:
Table 1 –Chemical Test Failure (alcohol
Table 2 –chemical Test Failure (alcohol
Table 3 –Refusal of an Evidentiary
Under .15) and DUI Conviction
.15 or greater)
Chemical Test
Occurrence
Suspension Restriction
Occurrence
Suspension Restriction
Occurrence
Suspension
Restriction
st
st
st
1
30 days
6 months/1yr
1
1 year
1 year
1
1 year
2 years
nd
nd
nd
2
1 year
1 year
2
1 year
2 year
2
1 year
3 years
rd
rd
3rd
1 year
2 years
3
1 year
3 year
3
1 year
4 years
th
th
4th
1 year
3 years
4
1 year
4 year
4
1 year
5 years
th
th
th
5
or more
1 year
10 years
5
or more
1 year
10 years
5
or more
1 year
10 years
Send this application, along with the $100 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 on-line 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! You can
download our app today to access these great tools and more. Search KS Vehicles Connect in your
app store.
DC-1015 (Rev. 8/15)
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