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2. BAYTOWN POLICE DEPARTMENT COMPLIMENT/COMPLAINT FORM
4. 1. Please select*

   1. Compliment

   1. Complaint
6. 2. Contact Information
8. Name*
9. Email Address*
11. Address
13. City
14. State
15. Zip Code
17. Phone Number
18. Alternate Number
20. 3. Would you like a call back?*

    1. Yes

    1. No
22. 4. Incident Information
24. Date and Time:*
    Date and Time:

    Date and Time:
25. Report/Incident Number:
27. Citation Number:
28. Location:*
30. Baytown Police Employee involved
32. Name and Badge/ID Number:
33. Name and Badge/ID Number:
34. Name and Badge/ID Number:
36. Name and Badge/ID Number:
37. Name and Badge/ID Number:
38. Name and Badge/ID Number:
40. Detailed Description of the incident:
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field