DeSoto
P
olice Department Letter of
Compliment or Complaint
Revised 07/16/2020
Full Name: (Print):________________________________Phone #__________________
Address:________________________________________________________________
Number Street City State Zip
Nature of Complaint_______________________________________________________
Location of Incident: ________________________________Date: _______Time:______
Officer(s) Name:__________________________________________________________
Summary of Incident
When writing your statement, please make sure that you are as detailed as possible. Please
include any and all conduct, actions and/or statements used by the officer or employee. It is
imperative that your statement is as accurate as possible.
DeSoto Police Department
Letter of Complaint
Revised 07/16/2020
Statement continued page 2
DeSoto Police Department
L
etter of Complaint
Revised 07/16/2020
The filing of a formal complaint against an employee of the DeSoto Police Department
by you institutes an administrative investigation, which could possibly result in
disciplinary action being taken against the employee.
Therefore:
A person who makes a false statement under oath concerning a complaint filed against a
law enforcement officer as required by Chapter 614 Subchapter B Government Code,
with intent to deceive and knowledge of the statement’s meaning, is guilty of aggravated
perjury under section 37.03 of the Texas Penal Code if he/she has knowledge of the
content of the complaint, the purpose of the filing, and the official character of the
investigation conducted in connection therewith, and if the statement is material.
I acknowledge that I have read the above prior to/or at the conclusion of providing this
written statement and that all information contained within this statement that I have
provided is true and correct.
____________________________________
Signature Date
State of Texas County of________________
Before me, a Notary Public, on this day personally appeared______________________,
known to me the person whose name is subscribed on the forgoing document, and being
by me first duly sworn, declared that the statements therein contained are true and
correct. Given under my hand and seal this ___________day of _______, ___________.
Statement continued page 3
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