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Complaint Form

Required

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