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Administrative Review & Risk Management

Ombudsman Request Form

Complete the online form below, which will be sent to the TDCJ Office of Ombudsman.

Requestor Name:

Phone Number: () -

Offender Name:
TDCJ Number or Date of Birth: (optional)   

Date and Unit of Incident: (optional)   

View the TDCJ privacy and security policy regarding information submitted via this form.