Public Information Act

Request Form

Please complete the form below to notify us of your request. Required fields are indicated by an asterisk (*).

Requestor Name *

Company/Organization

Phone Number () -

Do you agree to receive redacted information? * Yes No What's this?

By selecting "No", the TDCJ will send any information that we seek to withhold to the Attorney General for a ruling.

How do you wish to receive information? * Postal Mail E-Mail

Mailing Address:

City:

State:

ZIP:

E-mail:

Verify E-mail:

Request * (3000 char max)

Date Range From to

Text Check: leave this field blank:

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