WHAT TO EXPECT 1. Submit Motion for Reduction or Waiver of

Wichita Municipal Court

455 N MAIN 2ND FLOOR

WICHITA KS 67202-1681

WHAT TO EXPECT

1. Submit Motion for Reduction or Waiver of Reinstatement Fees, Fines,

and or Court Costs & Financial Affidavit

2. Only cases with Wichita Municipal Court currently/actively

suspending the Drivers License will be considered.

3. Driver’s license status at Revoked will not be reviewed until the end

of the revocation period. A letter will be sent advising of the

Revoked status and asking for a resubmission at the appropriate

time.

4. Active court bench warrants with Wichita Municipal Court must be

resolved/cleared prior to review for Motion and Financial Affidavit.

5. In person hearings are scheduled for Fridays at 1pm except for first

Fridays of each month.

6. Judge’s orders will be mailed out. The results can be varied.

a. No Action/No reduction or waiver

b. Fines can remain the same, be reduced or waived

c. Court Costs can remain the same, be reduced, waived and/or

authorized for community service to minimize out of pocket.

d. Reinstatement fees can remain the same, be reduced, waived

and/or authorized to be paid prior to any remaining fines and/or

court costs. If reinstatement fees are reduced to zero, the court

will automatically send electronic notice to KDOR for reinstatement

on that specific case.

7. Please contact Wichita Municipal Court customer service with any

questions: 316.268.4611.

IN THE MUNICIPAL COURT,

CITY OF WICHITA, SEDGWICK COUNTY, KANSAS

CITY OF WICHITA, Case No.________________________

V.

________________________Defendant,

MOTION FOR REDUCTION OR WAIVER OF REINSTATEMENT FEES, FINES, AND/OR COURT

COSTS

Comes now, ________________________________, the Defendant and moves the court for an order pursuant to Wichita

Municipal Code Section 1.0470 to waive or reduce the amount of reinstatement fees, fines and court costs in the above

captioned cases. The Defendant presents the following to the Court in support of this motion:

[Initial the statements below that apply to you.]

_____ 1. The Defendant satisfied, through payment or community service, all fines in the case(s) in which relief is

requested.

_____ 2. The Defendant has engaged in a payment plan for all Court Costs not yet satisfied in the cases(s) in which relief

is requested.

_____ 3. The Defendant has completed and attached the required financial affidavit.

_____ 4. The Defendant states that satisfying the fines and engaging in a payment plan for court costs and reinstatement

fees creates a manifest hardship to the Defendant and/or the Defendant’s family.

_____ 5. The Defendant presents the following statement as evidence of the manifest hardship.

[Write a statement in this section you may attach additional pages and documentation as necessary.]

__________________________________________________________________________________________________

_____ 6. The Defendant requests a formal hearing in front of a judge to make argument in person.

OR

_____ 6. The Defendant does not request a formal hearing and acknowledges a judge will make a decision based on the

submitted documents in this case.

I certify under the penalty of perjury that the preceding statements are true and correct.

_________________________________

Signature of the Defendant

IN THE MUNICIPAL COURT OF WICHITA, KANSAS

Financial Affidavit

Notice To Affiant

Notice to Defendant:

1. The information on this affidavit is NOT confidential.

2. Any information provided may be verified by the Judge and municipal court.

3. The information in this affidavit is provided under oath and under the penalties of perjury. False statements may

lead to criminal prosecution and conviction.

4. You may be required to testify about any information provided on this form.

5. You may be required to provide documentation to verify the information you provide on this form.

6. By signing below, you authorize the City of Wichita, Kansas to verify the information provided and specifically

grant authority for the City to obtain those records.

Amount that can be paid toward the balance owed now. [Write none if no amount can be paid at this time]

_________________________

Section One: Defendant and Household information

Your Full Name: __________________________ Date of Birth: _________________________

Address: _______________________________________ Home Telephone: _________________________

Work Telephone: _______________________________ Mobile Telephone: _________________________

Name of Spouse: ____________________________________ [If you are not married write N/A.]

Name(s) of Persons who live in the same home as you AND provide income to the household:

____________________________What is/are their relationship to you? _______________________________

[Write ‘none’ if no persons other than your children live with you.]

Dependents – Children or people who you are financially responsible to support

Name(s)

Age(s)

Relationship to You

+

City of Wichita, Plaintiff

)

vs.

Case No.

Defendant

Section Two: Household Employment and Income Information

Defendant: (Check all that Apply and complete the section for the option that applies to you):

_____ Employed.

Employer Name _______________________________________ (if self-employed write self and what type of work you

do.

How often are you paid? _______________________

Average amount of take home pay that you receive per paycheck? _______________________

_____ Un-Employed.

How long have you been Unemployed? ___________________

Amount of unemployment benefits: ______________________

If you do not receive unemployment benefits explain why. _______________________________________

Are you seeking employment? ___________________________________

If Yes then attach a list of the businesses where you have submitted an application for employment during the last six

months to this affidavit.

If No then attach an explanation on a separate sheet to this affidavit.

______ Retired

Include retirement income – if any - in the “Other Income” section below

______ Disabled

Include disability income – if any - in the “Other Income” section below.

______ Other

Explain: _____________________________________________________________

Spouse: (Check all that Apply and complete the section for the option that applies to your spouse):

_____ Employed.

Employer Name _______________________________________ (if self-employed write self and what type of work they

do.

How often are they paid? _______________________

Average amount of take home that they receive per paycheck? _______________________

_____ Un-Employed.

How long have they been Unemployed? ___________________

Amount of unemployment benefits: ______________________

If they do not receive unemployment benefits explain why. _______________________________________

Are they seeking employment? ___________________________________

If Yes then attach a list of the businesses where they have submitted an application for employment during the last six

months to this affidavit.

If No then attach an explanation on a separate sheet to this affidavit.

______ Retired

Include retirement income in the “Other Income” section below

______ Disabled

Include disability income in the “Other Income” section below.

______ Other

Explain: _____________________________________________________________

Persons who you live with you who provide Income to the Household.

How much money do they provide to the household per month? _________________________________

Section Three: Other Income

(Write “None” in the monthly income column if no income from that source.)

Source

Monthly Income

Source

Monthly Income

Public Assistance:

Including but not limited

to:

Supplemental Security

Income (SSI),

Social Security Disability

Insurance (SSDI),

Temporary Assistance

For Needy Families

(TANF), VA Disability

Benefits, Food Assistance

(Vision Card).

Social Security and/or

retirement Income.

Rental Property and/or

Business Income

(If Self-Employed was

checked in section two

above and income

information was included

in that section do not

include it again here.)

Maintenance/Alimony

and/or Child Support

paid to your household.

Other (Describe source of

Income)

Other (Describe Source of

Income)

Section Four: Assets

(Write “None” in the Value or Amount Column if you do not have that asset.)

Asset

Value or Amount of Asset

Amount Owed Against Asset

Vehicle(s) Including but not limited

to Car, Truck Motorcycle, Camper,

RV.

Provide Year, Make and Model for

each vehicle.

House/Land (Describe)

Cash

Accounts at financial institutions,

including, but not limited to: banks,

savings and loans, credit unions

and investment companies.

Provide the name of the financial

institution(s) and the type of

account(s)

Any asset transferred (given or

sold) to another after the date of the

filing of this motion. (Describe)

Other Assets (Describe)

Section Five: Monthly Expenses

Write “None” If you have no expense for the Type Listed. If more room is needed attach a separate sheet.

Type of Monthly Expense

Payment Amount

Rent or House Payment

Food/Household Goods (If a vision card benefit is

listed in section three write the amount spent above the

amount of the vision card benefit)

Clothing

Utilities

(Including but not limited to Water, Electric, Phone,

Internet, Trash Service)

Spousal Support/Alimony

Child Support (Amount Not taken out by employer)

Installment Payments (Including but not limited to

vehicle loans, credit cards and other debt. Amounts

Not already taken out of a paycheck due to

garnishment)

Payments for other cases: List Court, Case numbers

and Total Amount Owed as well as the monthly

payment made in each case.

Medical Debt – List total amount owed and amount

paid each month.

Monthly Medical Expenses (Including, but not limited

to health insurance premiums above the amount

withheld from income, medication, co-pays)

Transportation – Gas, Bus Passes, Insurance

Other (Describe)

Total Expenses

I certify under the penalty of perjury that the foregoing is true and correct. By signing below, I authorize the CITY OF

WICHITA, KANSAS to verify my past and present employment earnings, records, bank accounts, stock holdings, and

any other asset balances.

Executed this ______ day _______________, 20____

Signature of Affiant _______________________________