PUBLIC NUISANCE COMPLAINT FORM
NAME: ______________________________________________________________________
ADDRESS: ____________________________________________________________________
CITY/ZIP: _____________________________________________________________________
PHONE # home___________________________mobile_______________________________
DOB: ______________STATE/DRIVERS LICENSE#:____________________________________
ADDRESS OF COMPLAINT LOCATION
NAME: _______________________________________________________________________
ADDRESS: ____________________________________________________________________
CITY/ZIP: _____________________________
COMPLETE DESCRIPTION OF THE COMPLAINT:
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FILL IN ALL THE BLANKS FOR AN INVESTIGATION TO BE IMPLEMENTED. BY MAKING A COMPLAINT
AND SUBMITTING THIS COMPLAINT UNDER FALSE ACCUSATION COULD BE RESULT IN CRIMINAL
CHARGES BY TEXAS PENAL CODE 42.06. USE OF THE SUBMIT IS CONSIDERED AN ELECTRONIC
SIGNATURE BY THE COMPLAINANT.
Submit