Complaint Form printable pdf download

____________

Date Mailed / Faxed to Comp _____________

Date Received from Comp

DALLAS POLICE DEPARTMENT SWINDLE SQUAD

1400 S. LAMAR STREET 4

FLOOR

DALLAS, TEXAS 75215

(214) 671-3544 (Detective D.R. Cervantez)

(214) 671-3548 (Detective E. Lujan)

Fax: (214) 670-8475 E-mail:

forgery-dpd@dpd.ci.dallas.tx.us

COMPLAINT FORM

This complaint form is used for criminal offenses and criminal prosecution. It may be necessary for you to

appear in court if the suspect requests a trial. Restitution of any money is handled by the District Attorney or

judge, NOT the police department.

Name: ________________________________________________________ Date of birth: __________________

Home Address: ________________________________________________________________________________

Business Address: ______________________________________________________________________________

Home Phone: _________________________ Business Phone: _______________________ DL number: ________

Date and time of offense: ______________________________ Amount you paid suspect: __________________

Address where you gave suspect money: __________________________________________________________

WITNESS INFORMATION

Name of Witness: _________________ Date of birth:______________________________

Home Address: _______________________________________________________________________________

Business

Address:_____________________________________________________________________________________

Home Phone: _________________________________________

Business Phone________________________________________

SUSPECT INFORMATION

Name: _____________________________________________________ Date of birth:________________ Age: __

Race: Sex Ht: Wt: Hair: Eyes: ______ Vehicle info _____________________________________

Identifying marks – (circle all that apply): mustache beard goatee scars tattoos

Home Address: ________________________________________________________________________

Business Address: _____________________________________________________________________

Home Phone: _________________________________ Business Phone: ______________________ ___

Complaint Form