Kan. Stat. § 12-4204
A notice to appear shall describe the offense charged, shall summon the accused person to appear, shall contain a space in which the accused person may agree, in writing, to appear at a time not less than five (5) days after such notice to appear is given, unless the accused person shall demand an earlier hearing. A notice to appear may be signed by a municipal judge, the clerk of the municipal court, the city attorney, or any law enforcement officer of the city.
A notice to appear shall be deemed sufficient if in substantially the form of the notice to appear set out in K.S.A. 12-4205 or if in substantially the following form, to wit:
IN THE MUNICIPAL COURT OF __________, KANSAS
The City of ____________________________________, Kansas
vs.
____________________________________________,
(Accused person)
____________________________________________,
(Address)
NOTICE TO APPEAR
The City of __________, Kansas, To The Above Named Accused Person.
You are hereby summoned to appear before the Municipal 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 said Court at said time and place.
________________________
Signature of Accused Person
RETURN
The undersigned hereby certifies that on the ____ day of __________, 19__, the notice to appear was served, mailed or delivered.
_____________________________________
Law Enforcement Officer
K.S.A. 12-4204