Fillable FORT WORTH MARSHALS OFFICE PERSONNEL COMPLAINT SHEET (City of Fortworth)

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FORT WORTH MARSHALS OFFICE PERSONNEL COMPLAINT SHEET (City of Fortworth)

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FORT WORTH MARSHAL’S OFFICE
PERSONNEL COMPLAINT SHEET
________________________________________________________________
Texas Government Code, 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.
Texas Government Code, 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 employee unless a copy of the signed complaint is given to the officer
or employee.
(c) In addition to the requirement of Subsection (b), the officer or employee may not be indefinitely suspended or terminated from
employment based on the subject matter of the complaint unless:
(1) the complaint is investigated; and
(2) there is evidence to prove the allegation of misconduct.
.
Texas Penal Code, Sec. 37.08: FALSE REPORT TO A PEACE OFFICER
(a) A person commits an offense if, with intent to deceive, he knowingly makes a false statement that is material to a criminal
investigation and makes the statement to:
(1) A peace officer conducting the investigation; or
(2) any employee of a law enforcement agency that is authorized by the agency to conduct the investigation and that the actor
knows is conducting the investigation;
(b) In this section, “law enforcement agency” has the meaning assigned by Article 59.01, Code of Criminal Procedure.
(c) An offense under this section is a Class B misdemeanor.
“I affirm that I have read and understand Texas Government Code, Section 614.022 and 614.023 (Complaints against law enforcement
officers) and Texas Penal Code, Section 37.08 (False report to a peace officer).”
__________________________________
Signature of Complaining Person
___________________ ____________
Date Time
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signature
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Personnel Complaint Form Page 1
Complainant:
Date:
Address:
Phone:
Date/Time of Incident:
Location:
Employee Involved (if known):
Narrative:
“I, , wish to make the following statement to Fort Worth Marshal ,
regarding an incident that directly involved me on the above date and time, at the above location. I have
been advised of the procedure required by law to file this statement, and I am doing so with the
knowledge that any intentional falsehoods included in this statement may be used as evidence against me
in a court of law. My statement, which follows, includes ONLY INFORMATION and/or FACTS to
which I can PERSONALLY testify under oath, and includes NO INFORMATION and/or FACTS that
are “hearsay”. I do hereby state:”
Is this statement continued? Yes No Initials ________
Personnel Complaint Form Page Number _____
Is this statement continued? Yes No Initials ________
Personnel Complaint Form Page Number _____
Is this statement continued? Yes No Initials ________
Personnel Complaint Form FINAL page of ______ pages
Completion instructions to person making this statement of complaint against a police employee:
1.) Do not leave any lines blank on your statement --- cross out unused
lines with a diagonal line across any and all lines not used.
2.) Initial at any place on your statement where you made any kind of
correction, such as an erasure, cross-out or mark-over.
3.) Please initial at the bottom of any page used for your statement.
4.) Read your completed statement carefully before signing.
5.) You will be given a copy of your completed statement if you so
request.
6.) You will be notified regarding the conclusion of the investigation of
the complaint. If the investigation takes more than thirty (30) days,
you will be notified regarding the progress of the investigation at the
thirty (30) day period.
FINAL STATEMENT AND SIGNATURE:
“I hereby certify that all INFORMATION and/or FACTS which I have included herein are
accurate and correct, to the best of my knowledge. My entire statement consists of two pages.”
________________________________________
Signature of Complaining Person
______________________ _____________
Date Time
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signature
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FORT WORTH MARSHALS OFFICE PERSONNEL COMPLAINT SHEET (City of Fortworth)

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Completed 3 August 2020

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