Citizens Complaint Form – Sheriff Department

This form is provided to assist citizens with the formal Internal Affairs complaint process.
Witnesses may also use this form to provide information on incidents.
Personnel complaints will be handled in accordance with Texas Government Code 614.021, 614.002, and 614.023.
A name, signature, email address, or phone number are required.

Full Name: *

Are you the Complainant? *

Yes

Are you the witness? *

Yes

Home Street Address:

Apt/Unit Number:

City:

State:

Zip Code:

Office Address:

City:

State:

Zip Code:

Contact Phone Number:

Best Time to Call:

E-mail Address:

Date of Incident: *

Time of Incident:

Location of Incident or Address of Incident:

Have you contacted the employee’s supervisor or anyone else in the department? *

Yes

If yes, who did you contact?

Provide the name of the employee(s) or a description of the employee(s) involved in the incident.

Were you arrested? *

Yes

Did you receive a citation or service number? *

Yes

If yes, what is the citation or service number?

Does this involve an incident at one of the jails? *

Yes

If yes, what jail?

List any witnesses who saw the incident and their telephone numbers or email addresses:

In your own words, clearly indicate the nature of the complaint. Please print or write legibly.

PLEASE READ BEFORE SUBMITTING WITH MY SIGNATURE I UNDERSTAND THAT IT IS A VIOLATION TO WILLFULLY MAKE A FALSE REPORT. IN THE EVENT THIS REPORT IS PROVEN FALSE, THE INFORMATION MAY BE PROVIDED TO THE DALLAS COUNTY DISTRICT ATTORNEY FOR POSSIBLE PROSECUTION. BY SUBMITTING MY SIGNATURE I CERTIFY THAT THE STATEMENTS IN THIS FORM ARE TRUE.

Signature:

Date:

A copy of the complaint can also be emailed to (Sheriff_Internal_Affairs@dallascounty.org) or mailed to the address below.

Internal Affairs #3113

Dallas County Sheriff’s Department

133 N. Riverfront Blvd. LB-31

Dallas, Texas 75207

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