Office of the Independent Ombudsman

PREA Ombudsman Request Form

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

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 Incident: (optional)

Description of Incident. If incident is not related to PREA, submit inquiries through Office of the Independent Ombudsman.

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