Kansas Board of Examiners of Court Reporters
Kansas Judicial Center, 301 SW 10
th
Avenue, Room 374, Topeka, Kansas 66612
Phone: (785) 296-
2852 Fax: (785) 296-1028
COMPLAINT FORM
(1) Name, Address, and Contact Information for Person Making Complaint:
Name
Street Address
City State Zip
Home Phone Alternate Phone E-Mail Address (optional)
(2) I Would like to Make a Complaint Against:
Name of Court Reporter
Where Court Reporter is Located
(3) Please state all specific facts and circumstances which you believe constitute misconduct on the part of
the court reporter. Include any details, names, dates, places, addresses, and telephone numbers which
will assist the Board in its evaluation and investigation of this complaint. Identify the name and
address of any witnesses. If there are documents, letters, or any other materials directly related to the
complaint, please include them. Keep a copy of everything you submit for your records.
If additional space is required, use additional pages as needed and attach them to this page.
I certify that the allegations and statements of fact set forth above are true and correct to the best of my knowledge,
information, and belief.
Complainant’s Signature Date
