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Complaint Form


Texas Government Code Complaint Against Law Enforcement Officer or Firefighter

Sec. 614.022. Complaint to be in Writing and Signed by Complainant. To be considered by the head of a state agency or by the head of a fire department or local law enforcement agency, the complaint must be: (1) in writing; and (2) signed by the person making the complaint. Sec. 614.023. Copy of Complaint to be given to Officer or Employee. (a) A copy of a signed complaint against a law enforcement officer of this state or a fire fighter, detention officer, county jailer, or peace officer appointed or employed by a political subdivision of this state shall be given to the officer or employee within a reasonable time after the complaint is filed. (b) Disciplinary action may not be taken against the officer or firefighter unless a copy of the signed complaint is given to the officer or firefighter.

Complainant Namerequired
First Name
Last Name
Today's Daterequired
Must contain a date in M/D/YYYY format
Complainant Contact Phone Numberrequired
Complainant Contact Email Address
Date of Incidentrequired
Must contain a date in M/D/YYYY format
Please describe the incident and complaint below:required
End of statement.
By checking the "I agree" box below, you agree and acknowledge that - 
1.) Your application will not be signed in the sense of a traditional paper document.
2.) By signing in this alternative manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature.
3.) You may still be required to provide a traditional signature at a later date.
Electronic Signature Agreementrequired
Electronic Signaturerequired
First Name
Last Name