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For individual officers to complete for the Central Registry

Forms can be completed online.

CR305 - Terminated Officer Statement
To Respond to an Agency Report on File in the Central Registry

CR306 - Terminated Officer Statement Supplement

CR323 - Extension / Modification / Waiver Request
To Request an Extension, Modification, or Waiver to In-Service Training

CR341 - Individual Information Request
For Individual Officers to Request their Information in the Central Registry

CR342 - Self-report Form
To Self-Report Any Time a Certified Officer is Arrested, Cited, or Charged with a Criminal Offense Within 10 Days

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:

1999 N Amidon Ste 350
Wichita, KS 67203-2180