Death in Custody Forms

PLEASE NOTE THAT THE DEATH IN CUSTODY REPORT FORM IS NOW DUE ONLY TWICE PER CALENDAR YEAR, FOR REPORTING PERIODS OF JANUARY 1^ST - JUNE 30^TH, AND JULY 1^ST - DECEMBER 31^ST. THOSE REPORTS ARE DUE BY EITHER AUGUST 1^ST FOR THE FIRST HALF REPORT OR FEBRUARY 1^ST FOR THE SECOND HALF REPORT.

The interactive forms provided below can by submitted by email, or filled out, printed, and mailed to the Sentencing Commission.

If you have difficulty completing the form AND there are no reported deaths, you may simply send an email to Office@sentencing.ks.gov stating that for the particular period there are no deaths to report for your agency. The email will serve as documentation.

The form may be mailed to:

You will need AdobeAcrobat Reader to access these files, which may bedownloaded off this page.

• Informational Flyer

Calendar Year 2010 Forms

• Death in Custody CJ -11
• Death in Custody Addendum CJ -11A

Calendar Year 2009 Forms

• Death in Custody CJ -11
• Death in Custody Addendum CJ -11A

Calendar Year 2008 Forms

• Death in Custody (use for deaths prior to January 1, 2009)
• Death in Custody Addendum (use for deaths prior to January 1, 2009)