Traffic Complaint
Warning
It is illegal to file a false police report! 

Falsely reporting a crime is informing a law enforcement officer or a state investigative agency that a crime has been committed, knowing that such information is false and intending that the officer or agency shall act in reliance upon such information (KSA 21-3818, emphasis added).

Make your report as accurate as possible, and fill in as many of the requested fields as you can. If your information is incomplete, or you're not positive about a particular detail, we'll be glad to discuss that with you after you submit your report.

Please fill out the form as completely as possible.
Location of Occurence:
Date and time of occurence:
 
Note: The following information is confidential.
Reporting Person Information
Name:
Address:
City, State, Zip
Home Phone:
ie. (913) 123-4567
Work Phone:
ie. (913) 123-4567
Email:
 
Information for additional witness
Name:
Address:
City, State, Zip:
Home Phone:
ie. (913) 123-4567
Work Phone:
ie. (913) 123-4567
 
Suspect Information
Name:
Address:
City, State, Zip:
Home Phone:
ie. (913) 123-4567
Work Phone:
ie. (913) 123-4567
Race:
Sex:
Age:
Height (ie 5'6"):
Weight:
Hair:
Eyes:
Marks, Scars, Tattoos, Deformities:
Suspect Vehicle Information
License Number:
License State:
License Year:
License Type:
(ie: car, truck)
Vehicle Identification Number:
Color:
(ie white/white)
Make:
(ie chev, ford)
Model:
(ie 2dr, 4dr)
Year:
Describe the complaint:
Describe in as much detail as you can the nature of the suspicious activity, for example, domestic violence, drugs, theft, etc.