Utah Department of Public Safety


BCI -Law Enforcement Officers Killed or Assaulted

The Law Enforcement Officers Killed or Assaulted (LEOKA) form must be submitted to BCI each month by every agency. to download the LEOKA form.Click Here  If you have Adobe Reader or Adobe Acrobat you should be able to download this form and fill it out electronically.  When you are through filling out the form, the numbers in the four red boxes should all be the same.  When you are through, and if the four red boxes all equal each other, please submit it to asowards@utah.gov.

If you are unable to fill it out electronically, please fill it out manually and fax (801-965-4749) or email it to asowards@utah.gov.

Please contact Adrienne at asowards@utah.gov or 801-965-4497 if you have any questions about the form.

[Last Update -Januray 24, 2013.]