Citizen/Racial Profiling Complaint Form

Citizen/Racial Profiling Complaint

"*" indicates required fields

Complainant Information

Date of Report*

Name of Complainant*

First Last

How would you like us to contact you?*

Call

Mail

Complainant's Contact Phone Number*

Complainant's Email*

Complainant's Address*

Street Address Address Line 2 City State ZIP Code

Complainant's Address

Street Address Address Line 2 City State ZIP Code

Complainant's Email

RPD Employee and Event Information

Date of the Event*

Time of the Event*

Do you know the address where the event occurred?*

Yes

Address where the Event Occurred*

Street Address Address Line 2 City State ZIP Code

General area where the Event Occurred*

RPD Employee's Name (if known)

First Last

Officer's Badge Number (if known)

RPD Patrol Unit Number

(located on front fenders)

RPD Patrol Unit License Plate

(full or partial)

Brief Description of the Event Generating this Complaint*

Once your complaint has been accepted by the records clerk at the Robstown Police Department, a police supervisor will contact you within 24 hours. Please know that our staff is dedicated to the highest levels of professional standards; therefore, we will ensure this complaint is investigated without bias or subjectiveness.

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