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2. Texas Government Code Complaint Against Law Enforcement Officer or Firefighter
4. 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. 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 firefighter unless a copy of the signed complaint is given to the officer or firefighter.
6. Complainant First Name*
7. Complainant Last Name*
9. Today's Date*
   Today's Date
11. Complainant's Contact Phone Number*
13. Complainant's Contact Email Address
15. Date of Incident*
    Date of Incident
17. Please describe incident and complaint below:*
19. End of Statement.
21. I have read this statement and it is true and correct to the best of my knowledge.
23. By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
25. Electronic Signature*

    1. I agree
27. Electronic Signature First Name*
28. Electronic Signature Last Name*
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

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