Waco Police Department
Citizen Complaint Form
Instructions
Use this form to file a complaint against a Waco Police Department employee. Print and fill the form out completely. The
completed and signed form can be mailed or personally delivered to the Waco Police Professional Standards and Conduct at
3115 Pine, Waco, TX 76708. A department supervisor will contact you upon receipt of your complaint. If you have questions
about the complaint process, please call Professional Standards and Conduct at (254) 750-7504.
Contact Information
Name: ____________________________________________________ DOB: _____________________________
Home Address: ________________________________________________________________________________
Business Address: ______________________________________________________________________________
Home Phone: _________________________________ Work Phone: ____________________________________
Cell: _________________________________________ Email Address: __________________________________
Incident Information
Date: ___________________________ Time: ___________________ Case Number: ______________________
Location: _____________________________________________________________________________________
Employee Involved: _______________________________________________ Badge Number: ______________
Employee Involved: _______________________________________________ Badge Number: ______________
Witness Name: ___________________________________________________ Phone: _____________________
Witness Name: ___________________________________________________ Phone: _____________________
Narrative – Please Describe the Incident Involving Your Complaint
__________________________________________________ ___________________________
Signature Date/Time
(Form must be signed to be accepted.)
