City of Topeka | Citizen Response Form

Steps in the complaint process:

Complete the form (below) or download it and mail it here
Upon receipt, you will be contacted by a Police Department Representative
Update on case will be provided either in writing or by telephone.
Written notification of completed investigation.

If you downloaded this form please mail completed complaint to:
Topeka Police Department
Office of the Chief of Police
320 S. Kansas Suite 100
Topeka, Kansas 66603

If you should have additional questions, please call 785-368-9214.

Name

Address Zip

Home Phone Work Phone

Work Hours

Email Address

Today's Date

Date and Time of Incident

Location of Incident

Officer(s)/Employee(s) Involved

Do you have audio/video recordings of the incident?

If you are submitting a compliment complete section B and skip section C

In your own words describe the actions of the officer/employee you are commending

In your own words describe the complaint and how you feel the matter can be resolved

I hereby certify that the statements given by me herein are true and accurate to the best of my knowledge.

Electronic Signature Date