CENTRAL REGISTRY FORMS

Forms can be completed online.

CR301 - Demographic and Employment Information - New!
Note - Agencies should at least provide the year of psychological testing in Box 5 for previously certified officers.
-updated January 2022-

CR304(a) - Officer Status Change - New!
-updated November 2021-

CR304(b) - Termination or Separation - New!
-updated November 2021-

CR305 - Terminated Officer Statement

CR306 - Terminated Officer Statement Supplement

CR307 - Data Entry Status Change Form

CR323 - Extension / Modification / Waiver Request

CR340 - Agency Information Request
-for law enforcement agencies to request information contained in the Central Registry-

CR341 - Individual Information Request

CR342 - Self-report Form

If you have any questions on how to complete any of these forms please contact:

Matt Deffner
Central Registry Manager
(316) 832-9906
Fax: (316) 832-9679


Completed forms can be faxed to (316) 832-9679 or mailed to the following address:

KS·CPOST
1999 N Amidon Ste 350
Wichita, KS 67203-2180