Complaint Number:
(To be assigned by I.A.D.)
Citizen Name:
Complainant Witness
Race/Sex/Date of Birth
Driver License or ID Number
Home Street Address
City/ State/ Zip Code
Contact Phone Number home cell
E-Mail
best times to call
Date of Incident
Time of Incident
Location of Incident (address)
E-
Mail: DPDIAD@dallascityhall.com
Fax:
214-670-8219
Mail:
Dallas Police Department
*You may also give your si
gned letter to an on-duty police supervisor at any City of Dallas police facility.
E
lectronic Complaint Submission
Sign the completed form electronically and return to the Dallas
Police Department by clicking here :
Paper Complaint Submission
Print a copy of the form and sign then send to one of the below
address.
This form is provided to assist citizens with the formal complaint process. Witnesses may also use this form to provide information on incidents.
In your own words, describe the exact nature of the complaint. Begin with the date and location of the incident, then construct the
facts in chronological order. Include description of officer (name and badge# if known). Please print or write legibly.
Signature
#_______________________________/State:____________
Logged in by:
______/______/____________________
_____________/________/___________
Internal Affairs Division
1400 South Lamar Street
Dallas, Texas 75215
click to sign
signature
click to edit
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