Office of the Independent Ombudsman

Ombudsman Request Form

Complete the online form below, which will be sent to the Office of the Independent Ombudsman. All fields required except where noted.

NOTE: The Independent Ombudsman has jurisdiction on matters within the TDCJ which involve non-criminal and non-medical complaints.

If your complaint involves a medical issue, do not submit the form below. Instead, due to privacy laws, submit your complaint to: health.services@tdcj.texas.gov.
If your complaint involves an allegation of a criminal act or criminal conduct, do not submit the form below. Instead, submit your complaint to: oig@tdcj.texas.gov.
If you experience technical difficulty using this form, please try a different web browser (ex: Chrome vs. Edge). Also, heavy network traffic may slow server response. If this occurs, try submitting during a different time of day.

Requestor Name:

Relationship to Inmate:

Address:

City:

State:

ZIP:

Phone Number: () -

E-mail:

Complaint (Select up to 3)

Ctrl+click to select multiple

Text Check: leave this field blank:

Inmate Name:

TDCJ Number and/or Current Unit (optional)

Date and Unit of Incident: (optional)

Has the inmate filed a grievance on this incident? Yes No

Grievance Number:

Reason grievance was not filed:

Name all inmates who may have information on this incident:

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

Describe your complaint