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Office of the Independent Ombudsman

Ombudsman Request Form

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

Requestor Name:






Phone Number: () -

(Select up to 3)

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

Date and Unit of Incident: (optional)   
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View the TDCJ privacy and security policy regarding information submitted via this form.