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2. The Riley County Police Department strives to maintain a professional image and treat citizens fairly. Every citizen shall have the opportunity to voice their complaint concerning the conduct of any Riley County Police Department employee.

6. If we are to thoroughly investigate your complaint you will need to complete all sections of this report. If you have questions you can request a supervisor meet with you to file the report on your behalf or assist you in completing the report if you prefer. 

10. Incident Information
12. Date of Incident*
    Date of Incident
13. Time of Incident*
14. Case Number (if Applicable)
16. Location of Incident*
17. Day Incident Occurred*
    -- Select One --MondayTuesdayWednesdayThursdayFridaySaturdaySunday
19. Complainant Information (Yours)
21. Name*
22. Date of Birth*
23. Age*
25. Sex*
26. Race*
28. Address*
30. City*
31. State*
    -- Select One --ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
32. Zip Code*
34. Phone Number*
35. Email Address*
37. Were you arrested?*

    1. Yes
    2. No
38. If arrested, please list your charges:
40. Were You Injured?*

    1. Yes
    2. No
42. If Yes, Did You Seek Medical Attention?*

    1. Yes
    2. No
44. Witness Information

    List your witness's name, address, and contact phone number for interview purposes. 

46. Name
47. Address
49. City
50. State
51. Phone Number
55. Name
56. Address
58. City
59. State
60. Phone Number
64. Name
65. Address
67. City
68. State
69. Phone Number
71. Additional Witness Information
73. Employee Information

    RCPD employee(s) involved in the allegation. If you know the employee's ID # or the car they were driving at the time of the incident, list those in this section.

75. Name*
76. Employee #
77. Car #
79. Name
80. Employee #
81. Car #
83. Name
84. Employee #
85. Car #
87. Name
88. Employee #
89. Car #
93. Incident Description*

    Please give a complete and detailed account of what occurred and what you are complaining about. 

95. How Would You Like to See This Complaint Handled?

    Sometimes, a complainant does not want a formal report but would prefer a different kind of action. Please tell us how you would like this complaint handled. 

97. Electronic Signature

    Read, sign, and date the signature block.

99. Digital Signature*

    1. Yes

    I do hereby affirm the information above is true and complete to the best of my knowledge and belief. I understand that it is a violation of Kansas Law (K.S.A. 21-5904) to willingly make a false report.

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

100. Date*
101. Name*
103. Internal Use Only

     You do not need to fill out anything on this section. Please submit your complaint by clicking the button below when you are ready. 

105. Supervisor
106. Notes
108. Commander
110. Assistant Director
112. Director
114. Learn About the Complaint Process and Steps to Completion
     Citizen Complaint Page
Leave This Blank:


116. 1. Receive an email copy of this form.
117. Email address

     This field is not part of the form submission.

118. Submit

* indicates a required field