Kansas Department of Administration

FPVS Vehicle Wish List

This Form is Used to Request a Specific FPVS Vehicle for your Agency.  Please Complete a New Form for Each Vehicle you are Requesting.  Please be as Specific as Possible when Describing what you are Looking for in a Vehicle.  Thank You!

Instructions for Use: This Form Contains 5 Sections: Agency Information, Cars, Trucks, Vans, & SUVs.  Please Complete Agency Information Section and 1 Additional Section on this Form.

* Indicates a required field
Agency Information
*  Please Enter the Complete Name of your Agency.
*  Please Enter Complete Mailing Address. Example: Address; City, KS Zip
*  Please Enter your Name or Contact Person.
*  Please Enter your Phone Number or Phone Number of Contact Person.
*  Please Enter your Email Address or Contact Person's Email Address
Cars - 35,000 Miles or Less
Car Type:
Engine Size:
SUVs - 65,000 Miles or Less
SUV Type:
Number of Passengers:
Trucks - 65,000 Miles or Less
Size of Truck:
Size of Cab:
Vans - 40,000 Miles or Less
Type of Van:
Number of Passengers:
Consent Confirmation:
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