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1. How to order DC-70, DC-27, DC-28 and CDL-5 forms?

Reordering Forms:

• You can order more forms from the DL Administrative Hearing Section at the Kansas Department of Revenue by:
  • Fax: 785-296-6911 
  • Email

2. How does a Law Enforcement agency become certified to operate the Intoxilyzer 9000?

Any Law Enforcement agency can become a Breath Alcohol Program (BAP) certified agency. There are several steps to becoming a certified agency. First, contact the BAP at 785-296-1642 or via email. An agency application will be provided to your agency. The application must be filled out and returned to KDHE for approval. The officers at the agency wanting to become certified operators must submit a training application and attend an Intoxilyzer 9000 class. If the agency also wants an instrument, they need to specify this when contacting the BAP. If the agency is granted an instrument, a BAP staff member will set up the instrument at the agency and instruct the custodian on his/her responsibilities. The instrument will be tested at the agency when it is set up.

3. How does an individual become a certified operator?

To become a certified operator, an individual must submit a training application to KDHE. The training application can be downloaded from the Breath Alcohol Laboratory Program page. The individual will be placed on the roster of the class they have selected, if available. A confirmation email will be sent to the Agency Custodian two weeks prior to the class date. The individual must attend, complete and pass the Intoxilyzer 9000 training course. After completing and passing the course, the newly certified operator will receive an operator's certification card.

4. How does an individual find class locations, dates, whether a class is full or if their training application was processed?

The class schedule is located on the Breath Alcohol Laboratory Program page. To determine if a class is full or if an individual from your agency is in a specific class, contact the Breath Alcohol Program (BAP) at 785-296-1642 or via email.

5. How does an agency, operator or custodian renew the certification of an agency, operator or instrument?

The renewal process occurs at the end of each calendar year. An application is sent to all certified agencies in October. This application contains all the necessary paperwork for renewal. The application is sent via email to the Agency Custodian. All operators that expire in the given calendar year must complete the required online continuing education course to renew their certification. If you have any questions, contact the Breath Alcohol Program at 785-296-1642 or via email.

6. What is online continuing education training?

Continuing education is stipulated in K.A.R. 28-32-10(d). All certified operators must complete the online continuing education training at least once every two years to renew their certification. The online training is located on the Kansas Train website. If you have any questions, contact the Breath Alcohol Program at 785-296-1642 or via email.

7. How does someone find a change of status, training application, or CMI evaluation form?

Please, go to the Breath Alcohol Laboratory Program page to download the form you need.

8. What is the change of status form and when do I fill it out?

The change of status form is used to notify the Breath Alcohol Program (BAP) when a certified operator leaves an agency, comes to an agency or changes their name. The change of status form can be downloaded from the Breath Alcohol Laboratory Program page. Complete the appropriate information to delete, transfer or change the name of an operator. If you have any questions, contact the BAP at 785-296-1642 or via email.

9. What do I do when my instrument needs repair?

Contact  Breath Alcohol Program (BAP) staff to notify them of the issue. The BAP staff may be able to assist so the instrument can be returned to service. If the BAP staff are unable to assist and determine the instrument does need to go for repair, we will help complete the CMI Service Evaluation form. Please indicate to the BAP staff member whether a loaner instrument is desired. Include the completed form in the box with the instrument and mail it to CMI. Their address is located at the bottom of the evaluation form. Remember to remove your gas cylinder prior to boxing your instrument. Following repair, the instrument will be sent to the BAP to verify the instrument and then returned to your agency. If you have any questions, contact the BAP at 785-296-1642 or via email.

10. What do I do when I have received my repaired instrument?

Check to determine the repaired instrument has been verified by a  Breath Alcohol Program (BAP) staff member. The yellow service work order form should have the date and initials of a BAP staff member that performed the post-repair verification. You should also have maintenance log entries showing that the repair records have been entered into the instrument. If anything is missing contact the BAP prior to setting up the instrument. If the paperwork is all located, set up your instrument, perform a 'standard change' (if required) and perform a Weekly QC check using the "return" option. The instrument has now been returned to service and is ready for use.

11. I just received my Agency Application Packet; how do I complete all the forms?

Part 1

• Certification Application (PDF)  
  • Is the address provided correct? If not, make the appropriate corrections in the space provided.
  • In the instrument section, write the instrument serial number of the evidential breath testing (EBAT) device(s) your agency expects to routinely use and sign as the Agency Custodian. Your Agency Head (Sheriff, Interim Sheriff, Chief, Interim Chief, etc.) must also sign the bottom of the form. If the Agency Head is unavailable, please contact the  Breath Alcohol Program (BAP) at 785-296-1642 or via email and they will advise you on the next step and/or additional paperwork that is or may be needed.

Part 2

• Operator Certification Renewal Application (DOC)  
  • This page references all operators who must renew their certification during the current calendar year. Mark the box by the name of each operator who wishes to renew. Any boxes left blank may result in the officer(s) being inactivated. Please note that a BAP staff member may contact you to confirm the individual does not intend to renew their certification, especially if they are not marked off on the Operator Roster.

Part 3

• Operator Roster (DOC): Make any change(s) to your Operator Roster on this page.
• Deletion (DOC): Cross through any operator name which should be removed from your agency Operator Roster. Please include a Change of Status (found on the Breath Alcohol Laboratory Program page) for each deletion.
• Name Changes (DOC): Correct any operator name(s) by crossing through the old name and writing in the new name. Please include a Change of Status (found on the Breath Alcohol Laboratory Program page) for each name change. If the name was inadvertently misspelled by the BAP, please contact the BAP at 785-296-1642 or via email to have the name corrected and a new card sent. A change of status form would not be required in this case.
• Transfers (DOC): Any operator who is currently active or eligible to be active should have a transfer completed and sent into the BAP. The operator's name should be written on the Operator Roster indicating the addition of the operator. Please include a Change of Status (found on the Breath Alcohol Laboratory Program page) for each transfer. If the operator is being added due to being newly certified, please add their name to the Operator Roster but no Change of Status form is required.

Note: If the operator needs to renew their certification during the current calendar year, add their name, operator number, and a box in front of their name to the Operator Certification Renewal Application and mark the box to reflect their intent to renew.

If you have any questions, contact the BAP at 785-296-1642 or via email.