Police Department

Please check this box to remain anonymous, otherwise a name and phone number or email address is required.

Contact Type:
[Select Type] Compliment Complaint

Your Name:
 

Your Address:
 

City, State, Zip:
 

Email Adress:


Phone No:
 

Date/Time of Incident :
 *

Address of Incident:
 *

Name(s), if known, of Fort Worth Police employee(s) you are complimenting or complaining about
#1:


#2:


#3:


#4:


If name is not known, describe the Police employee(s) you are complimenting or complaining about:
 *

Did you receive a citation(s)?   No Yes

If Yes, number & reason:


Were you Arrested?   No Yes  *

If Yes, Reason:


Do you have a police report number for this incident?   No Yes  *

If Yes, Report Number:


Do you know the police car number?   No Yes  *

If Yes, Unit Number:


Witnesses who actually saw the event:
Witness Name #1:


Witness Address #1:


Witness Phone #1:


Witness Name #2:


Witness Address #2:


Witness Phone #2:


Witness Name #3:


Witness Address #3:


Witness Phone #3:


Summary of Event: *


PLEASE READ BEFORE SUBMITTING
  I understand that it is a violation to willfully make a false report. In the event this report is proven false, the information may be provided to the District Attorney or City Prosecutor for possible prosecution. By clicking the Submit Complaint button I certify that the statements in this form are true.