PREA Ombudsman Office

Request Form

Complete the online form below, which will be sent to the PREA Ombudsman Office. If the incident is not related to PREA, submit inquiries through Office of the Independent Ombudsman. All fields required except where noted.

Requestor Name:

Relationship to Inmate:

Address:

City:

State:

ZIP:

Phone Number: () -

E-mail:

PREA Concern:

Text Check: leave this field blank:

Inmate Name:

TDCJ Number or Date of Birth: (optional)

Unit Currently Assigned: (optional)

Date and Unit of PREA Incident: (optional)

Description of PREA Incident