Port Lavaca, TX · Calhoun County
Racial Profiling Complaint Form
This form lets a person report an incident involving alleged racial profiling to the Port Lavaca Police Department and provide a sworn statement about what happened.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The form collects the complainant’s contact details, incident information, employee and witness details, and a narrative describing the event. The complainant certifies that the information is accurate and signs a statement limited to facts they can personally testify to under oath; the form includes a notary section for that sworn statement.
Who needs it
A person reporting an incident involving alleged racial profiling to the Port Lavaca Police Department can use this form to provide complaint and incident details.
Why it needs a notary
The form includes a jurat stating the complaint was sworn to and subscribed before a notary; the complaining person signs the statement before the notary.
How to get this notarized
- 1
Download the Form
Get the Racial Profiling Complaint Form from the City of Port Lavaca.
- 2
Fill In the Complaint
Provide your contact and incident details, identify employees and witnesses if known, and write your statement using facts you can personally testify to.
- 3
Book an Online Notary
Schedule a session with a commissioned online notary and have the completed form ready.
- 4
Sign on Video
Sign the statement during the online session as directed so the notary can complete the jurat.
- 5
Submit to the City
Send the notarized form to the Port Lavaca Police Department using a submission method accepted by the department.
Preview the form
The blank PDF straight from Port Lavaca. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I get this complaint form notarized online?
- Complete the form, then book with a commissioned online notary. Sign the statement during the video session when directed, and submit the notarized form to the Port Lavaca Police Department.
- Do I need to sign the complaint in front of a notary?
- The form includes a jurat stating that the statement was sworn to and subscribed before a notary. The complaining person should sign before the notary.
- Can I use an online notary for this Texas form?
- Texas has authorized remote online notarization since 2018 under Government Code Chapter 406, Subchapter C. Ask the Port Lavaca Police Department about its submission procedures if you have questions.
- What should I include in the complaint narrative?
- The form asks for information and facts you can personally testify to under oath, along with incident details. It cautions that intentional falsehoods may be used as evidence in court. Confirm with the city if unsure.
Other forms in Port Lavaca
Racial Profiling Complaint Form in other Texas cities
Each city publishes its own version of this form. Pick the city where you’re filing.