VOLUNTARY STATEMENT / NON-EMERGENCY REPORT

The Holiday Lakes Police Department provides this form for individuals who wish to submit information or a voluntary written statement regarding a non-emergency incident, concern, or matter that does not require an immediate police response.

Holiday Lakes Police Department is not a 24-hour police department. Submitting this form does not dispatch an officer and does not guarantee immediate review. Information submitted through this form will be reviewed and may be investigated or followed up on when an HLPD officer is on duty.

DO NOT USE THIS FORM FOR AN EMERGENCY, CRIME IN PROGRESS, IMMEDIATE THREAT TO LIFE OR PROPERTY, OR ANY SITUATION REQUIRING AN IMMEDIATE POLICE RESPONSE. CALL 911.

Please provide as much accurate and detailed information as possible, including names, dates, times, locations, vehicle descriptions, witnesses, and any other information that may assist the officer reviewing the matter.

Submitting this form does not automatically create a police report or case number. An officer will contact you for additional information before determining what further action, if any, is appropriate.

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HLPD VOLUNTARY STATEMENT / NON-EMERGENCY REPORT

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Name: *

Date of Birth *

Address: *

E-mail address: *

Phone Number *

Driver's License / ID Number

Date of Incident *

Approximate Time of Incident

Location of Incident *

Describe What Happened / Your Voluntary Statement *

Names of Other Persons Involved (if known)

Witness Names / Contact Information (if known)

Vehicle / Property Description (if applicable)

Additional Information

Captcha (spam protection code) *

I voluntarily submit this statement to the Holiday Lakes Police Department. I certify that the information I have provided is true and accurate to the best of my knowledge. I understand that submitting this form does not automatically create a police report or case number and does not request or guarantee an immediate police response. I understand that the Holiday Lakes Police Department is not staffed 24 hours a day and that this information will be reviewed when department personnel are available. I further understand that knowingly providing false information to a peace officer may constitute an offense under Texas law.

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EMERGENCY: CALL 911 | Non-Emergency Police Assistance: 979-849-2441 | © 2026 Holiday Lakes Police Department

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