2006 Kansas Code - 19-4738
19-4738. Appendix of forms. The forms contained in the appendix of forms are sufficient under this act and are intended to indicate the simplicity and brevity of statement which this act contemplates.
The following forms are intended for illustration only, but they are expressly declared by K.S.A. 19-4738 to be sufficient.
Form No. 1: FORM FOR COMPLAINT
The County of ____________________, Kansas,
vs.
_________________________________________________________________
_________________________________________________________________
________________________________________________________________, the undersigned, complains that on or about the ____ day of __________, 19__, in the County of __________, and State of Kansas, _________________________________________________________
_________________________________________________________________
did then and there unlawfully ___________________________________
_________________________________________________________________
_________________________________________________________________ in violation of Resolution No. ________ of the County of __________________________, Kansas.
Signature of Officer or Complainant ____________________No.______
*Sworn to positively before me this ____ day of __________, 19__.
______________________________________ Officer authorized to administer oaths
*This complaint is not required to be sworn if it is signed by a law enforcement officer or a code enforcement officer.
Form No. 2: FORM FOR NOTICE TO APPEAR
The County of __________, Kansas,
The County of __________, Kansas, to the above named accused person:
You are hereby summoned to appear before the District Court of __________, Kansas, on the ____ day of __________, 19__, at __________ o'clock, _.m., to answer a complaint charging you with
If you fail to appear a warrant will be issued for your arrest.
Dated __________, 19__.
_____________________ Signature of Official _________________ Title of Official
I agree to appear in the Court at the stated time and place.
___________________________ Signature of Accused Person
The undersigned hereby certifies that on the ____ day of __________, 19__, the notice to appear was served, mailed or delivered.
__________________________ Law Enforcement Officer or Code Enforcement Officer
Form No. 3: FORM FOR UNIFORM COMPLAINT AND NOTICE TO APPEAR
State of Kansas
County of ______________
The undersigned complains that on the ____ day of __________, 19__, at __________ p.m. (a.m.)
Name ___________________________________________________________
Street Address _________________________________________________
County ________________
State _________________
Birth Date ______________
Sex _______________
Did unlawfully at _______________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
All in violation of Section(s) _________________________________
of Resolution No. __ of __________ County, Kansas.
Signature of Officer or Complainant __________________ No. ____
*Sworn to positively before me this ____ day of ________, 19__.
_________________________________________________________________
*This complaint is not required to be sworn if it is signed by a law enforcement officer or code enforcement officer.
The County of _____________, Kansas, to the above-named person:
You are hereby summoned to appear before the District Court of __________, Kansas, at __________ on the ____ day of __________, 19__, at __________ o'clock _.m., to answer the above complaint.
If you fail to appear a warrant will be issued for your arrest.
Dated __________, 19__.
_____________________ Signature of Official ____________________ Title of Official
I agree to appear in the Court at the stated time and place.
___________________________ Signature of Accused Person
The undersigned hereby certifies that on the ____ day of __________, 19__, the notice to appear was served, mailed or delivered.
__________________________ Law Enforcement Officer or Code Enforcement Officer
History: L. 1988, ch. 102, § 42; April 21.
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