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Bryan Police Department
303 East 29th Street
Bryan, Texas 77803
979.209.5300

*Please note that you will need to be able to print this document after you fill it out and bring it to the Bryan Police Department. To be notarized or received by a Bryan Police Department supervisor.

INTERNAL AFFAIRS COMPLIMENT / COMPLAINT FORM

State of Texas

City of Bryan

Before me, the undersigned authority, appeared , who after being duly sworn on his/her oath deposes and says:

My name is , I am years old, having been born on , I live at and my phone number is .

I have been given opportunity to review the Texas Penal Code, Section 37.02 and 37.08 pertaining to PERJURY AND FALSE REPORT TO A PEACE OFFICER.

http://www.statutes.legis.state.tx.us/Docs/PE/htm/PE.37.htm

I understand that if I knowingly make a false statement, under oath, I am subject to prosecution. I allege at the time and date of and at the location of , an employee of the Bryan Police Department by the name of did:

(Please include as much detailed information as possible, including any and all potential witness’ information.)

END OF STATEMENT

This is a government record maintained by the Bryan Police Department. I understand that making a false entry in this record or making a false report to a peace officer is against the law, and I may be subject to criminal prosecution if information entered here is subsequently shown to be false. I understand that when I sign this complaint that a detailed and fair investigation will be conducted as expeditiously as possible. I have read and understood the above document and it is true and correct to the best of my knowledge. I have signed this upon my own free-will and accord.

Signed:

___________________________________________________

Sworn to and subscribed before me this day of , .

Notary Public or Bryan Police Department Official:______________________

Date:________________________________

Time:________________________________

If this document does not print, you might need to highlight and right click with your mouse. Click print in the drop down box. When the print screen comes up, be sure to select (selection) under page range (in the lower left area of the print box). If you have problems with this, you may write your statement in a word document and print it out. When you bring in your statement, we can give you a complaint form when you get to our office. We have a notary on staff at all time. Give your complaint to a Sergeant on duty or to Lt. Jackie Maynard.