Changes to Visitation, 02/01/23
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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)

Ctrl+click to select multiple
 
Inmate Name:
TDCJ Number and/or Current Unit (optional)    
Date and Unit of Incident: (optional)   
Has the inmate filed a grievance on this incident?




Name all inmates who may have information on this incident:
Name all TDCJ employees who may have information on this incident:

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