Enter the appropriate information in the fields below and click the "Send Request" button. 

Start Time: End Time: (HH:MM AM/PM)

Last Name:                                          First Name:

Home Address:                           City:

State:    TX AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NE NC ND NH NJ NM NV NY OH OK OR PA RI SC SD TN UT VA VT WA WI WV    Zip: Home Phone: Work Phone:

Employee #1

Last Name:                                          First Name:

Race:   White Asian Indian Black     Sex: Male Female       Ht: 4'10 4'11 5'0 5'1 5'2 5'3 5'4 5'5 5'6 5'7 5'8 5'9 5'10 5'11 6'0 6'1 6'2 6'3 6'4 Wt:
Hair Color/Length:        Eye Color: Light blue Blue Blue-green Light brown Brown Dark brown/Black          Approximate Age:

Was the Accused Employee in Uniform? Yes No Unsure

Anything unusual (for example: Badge#, glasses, mustache, tattoos)

Employee #2

Last Name:                                          First Name:

Race:   White Asian Indian Black     Sex: Male Female Ht: 4'10 4'11 5'0 5'1 5'2 5'3 5'4 5'5 5'6 5'7 5'8 5'9 5'10 5'11 6'0 6'1 6'2 6'3 6'4 Wt:      
Hair Color/Length:      Eye Color: Light blue Blue Blue-green Light brown Brown Dark brown/Black       Approximate Age:

Was the Accused Employee in Uniform? Yes No Unsure

Anything unusual (for example: Badge#, glasses, mustache, tattoos)

If you have additional employee(s) or additional information please provide the information in the Narrative of this Form

Please Give a brief description of the incident:

You should receive a confirmation e-mail of receipt of your complaint within 10 working days from submission. If you do not receive any confirmation or you have any further questions please contact the El Paso Police Department’s Internal Affairs Division at 564-7344 Monday through Friday 8:oo a.m. to 5:00 p.m.