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Get Voluntary Surrender Form 2013-2024

Ly surrender my driver license to the Kentucky Division of Driver Licensing for the following reasons(s): 1. Insurance Purposes 2. No longer want to drive 3. Health Reasons (Explain. Attach additional sheet if more space is needed.) I understand that: a. If I decide to reapply for my driving privilege, I will be required to return to the Circuit Clerk s office to have my license reissued. b. If I surrender any class license/permit, I have one year from the date I last held a valid licens.

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