Public Safety Forms


Kansas Department of Labor Identity Verification Form  Print and Complete Section A of this form and bring the form to the Lindsborg Police Department.  The form must be returned in person for assistance.


Employee and Volunteer Application  Complete this form and return it to the Lindsborg Public Safety Office for any Part-Time, Full-Time, or Volunteer Positions with our departments, including but not limited to Police Officers, EMTs, and Firefighters!  The form can be printed, completed and returned to our office.  The form can be also be downloaded, saved and emailed back to the Public Safety Office if you have compatible software, available in 2 formats as fillable forms, MS Word Office 365 and Adobe PDF.  Download Microsoft Word Format, Download PDF Application Format


Lindsborg Police Department Record Request Form


Courtesy Motor Vehicle Accident Report Form  Please complete this form and return it to the Lindsborg Police Department.  Each driver involved may fill out their own report, we will be able to combine them into 1 case.  Include as much information as possible.  This form is required to obtain a case number for the accident.

Accident Information Exchange Form Use this document to exchange Insurance Information for each vehicle involved in the accident.

Special Event Request Form is available for but not limited to: events on the City Streets, sidewalks, parks, band shells or any event on private property that might require street blockage, extra security, no parking, etc. Special event requests or exemption from City ordinances for special event activities.  Complete this form nd returned to the Public Safety Office with as much advance notice as possible to allow all city departments time to review the event request.  This form has been updated to include a page 2 for requester to submit a sketch / drawing / picture of the request, detailing street names, addresses, etc where possible to be submitted with the form.  The Barricade Form as also been included with this Form when downloaded.

Lindsborg Stage Rental Agreement Form  Use this document to request use of the City of Lindsborg Portable Stage.  This should be submitted with a Special Events Request if needed.  For questions about the stage contact Jordan Jerkovich, jordanj@lindsborgcity.org, or 785-227-3355.


Streets Department Barricade Form is required to reserve barricades for special events. Street barricade requests for special event activities should be completed and returned to the Police Department.

Community Room Registration Form is required to reserve the Community Room at the Lindsborg Safety Center. The room will accommodate approximately 25 people for non-profit group meetings, department training, family reunions, or graduation reception. Community Room requests should be completed and returned to the Police Department. (We are not  accepting Community Room reservations at this time due to infectious disease limitations)

Keeping of Chickens



Diversion Policies and Applications are located on the Lindsborg Municipal Court page.


Contact Information
Lindsborg Public Safety Department
102 S First
Lindsborg, KS   67456
(785) 227-2988