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2. Your Contact Information
   Please fill out contact information so an investigator can respond to your complaint.
4. First Name*
5. Last Name*
7. Email Address*
8. Phone Number*
10. Mailing Address*
12. City, State, ZIP*
16. Complaint Information
    Details of the offense. Please be as specific as possible to assist with the investigation of this complaint.
19. Officer(s)/Employee(s) involved
    Name, Number, and/or Description of Officer(s)/Employee(s) involved in this complaint.
21. Witnesses and contact information
    Please provide any possible witness information, and contact information such as address, phone number, email to assist with the investigation.
25. Nature of Comment / Complaint
    Please describe the details of the incident, including date, time, location, and case or citation number, if appropriate.
27. Acknowledgement of Texas Penal Code Sec. 37.08*

    I understand that making a false report to a police officer is a class B misdemeanor (Texas Penal code Sec. 37.08.)

    1. I certify that the information I have given in this report is true and correct.
    2. Must Check Above to Acknowledge Truthfulness of Statement.
29. Contact Preference*
    -- Select One --PhoneEmail

    Which method of contact would you prefer regarding this complaint?
31. Thank you for submitting your complaint.
    A member of the Criminal Investigations Division should reach out to you regarding your complaint as soon as possible.
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33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit Submit and Print

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