May 12 2008 5:03 AM Kansas Department of Revenue

Kansas Department of Revenue Division of Vehicles Change of Address on Kansas Driver's License   E-mail Address (Used to notify you if unable to update your record)     Driver's License No. Enter as K99999999 or 99999999, do not enter dashes   Phone Number 999-999-9999   Last 4 digits of Social Security Number (Required by Law)     Date of Birth MM/DD/YYYY     Name (As appears on driver's license) (First)   (Middle) (Last)   (Suffix - Jr., III, etc.) New Residence Address (Not P.O. Box)   (Apt #, Suite #, etc.) City   State County None Allen Anderson Atchison Barber Barton Bourbon Brown Butler Chase Chautauqua Cherokee Cheyenne Clark Clay Cloud Coffey Comanche Cowley Crawford Decatur Dickinson Doniphan Douglas Edwards Elk Ellis Ellsworth Finney Ford Franklin Geary Gove Graham Grant Gray Greeley Greenwood Hamilton Harper Harvey Haskell Hodgeman Jackson Jefferson Jewell Johnson Kearny Kingman Kiowa Labette Lane Leavenworth Lincoln Linn Logan Lyon Marion Marshall Mcpherson Meade Miami Mitchell Montgomery Morris Morton Nemaha Neosho Ness Norton Osage Osborne Ottawa Pawnee Phillips Pottawatomie Pratt Rawlins Reno Republic Rice Riley Rooks Rush Russell Saline Scott Sedgwick Seward Shawnee Sheridan Sherman Smith Stafford Stanton Stevens Sumner Thomas Trego Wabaunsee Wallace Washington Wichita Wilson Woodson Wyandotte   Zip Code (99999 or 99999-9999)     If mailing address is different from new address please fill out the area below. Mailing Address (Apt #, Suite #, etc.) City State County Zip Code (99999 or 99999-9999)   The following used for voter registration change. Name used at last voting residence Last voting residence County of last voting residence None Allen Anderson Atchison Barber Barton Bourbon Brown Butler Chase Chautauqua Cherokee Cheyenne Clark Clay Cloud Coffey Comanche Cowley Crawford Decatur Dickinson Doniphan Douglas Edwards Elk Ellis Ellsworth Finney Ford Franklin Geary Gove Graham Grant Gray Greeley Greenwood Hamilton Harper Harvey Haskell Hodgeman Jackson Jefferson Jewell Johnson Kearny Kingman Kiowa Labette Lane Leavenworth Lincoln Linn Logan Lyon Marion Marshall Mcpherson Meade Miami Mitchell Montgomery Morris Morton Nemaha Neosho Ness Norton Osage Osborne Ottawa Pawnee Phillips Pottawatomie Pratt Rawlins Reno Republic Rice Riley Rooks Rush Russell Saline Scott Sedgwick Seward Shawnee Sheridan Sherman Smith Stafford Stanton Stevens Sumner Thomas Trego Wabaunsee Wallace Washington Wichita Wilson Woodson Wyandotte IMPORTANT! This form will result in a change of address for voter registration unless you check the box to the right! Do Not Change Voter Address