Saline County Sheriff Saline County Sheriff's Office
CITIZEN COMPLAINT FORM 		251 N. 10th St.
Salina, KS 67401
785-826-6500
COMPLAINANT INFORMATION
Instructions
1. Complete with as many details as possible.
2. Click on the Submit Form button below.

Last Name
First Name    MI 
Date of Birth
Home Phone
Work Phone & Extension
Other Contact Number
E-Mail
Address
City
State    Zip 

OFFICER(S) INVOLVED
Officer's Name     Badge #     Car #    
Officer's Name     Badge #     Car #    
Employee's Name
Description of Officer/Employee

WITNESS INFORMATION

#1 Last Name
First Name    MI 
Phone
Address
City
State    Zip 
#2 Last Name
First Name    MI 
Phone
Address
City
State    Zip 
#3 Last Name
First Name    MI 
Phone
Address
City
State    Zip 
#4 Last Name
First Name    MI 
Phone
Address
City
State    Zip 

INCIDENT DETAILS
Please be as specific and detailed as possible

Date of Incident
Time of Incidnet
Location of Incident
NATURE OF COMPLAINT
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