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Compliment/Complaint Form

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BAYTOWN POLICE DEPARTMENT COMPLIMENT/COMPLAINT FORM
1. Please select*
1. Compliment
1. Complaint
2. Contact Information
Name*
Email Address*
Address
City
State
Zip Code
Phone Number
Alternate Number
3. Would you like a call back?*
1. Yes
1. No
4. Incident Information
Date and Time:*
Date and Time:
Date and Time:
Report/Incident Number:
Citation Number:
Location:*
Baytown Police Employee involved
Name and Badge/ID Number:
Name and Badge/ID Number:
Name and Badge/ID Number:
Name and Badge/ID Number:
Name and Badge/ID Number:
Name and Badge/ID Number:
Detailed Description of the incident:

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Compliment/Complaint Form