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:

DOB (MM/DD/YYYY) 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:
Eye Color: Light blue Blue Blue-green Light brown Brown Dark brown/Black

Driver's License #: 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

Witness #1

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:

Race:   White Asian Indian Black     Sex: Male Female

Witness #2

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:

Race:   White Asian Indian Black     Sex: Male Female

If you have additional witnesses or information please provide the information in the Narrative of this Form

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 544-7633 Monday through Friday 8:oo a.m. to 4:00 p.m.