Citizen Compliment

Compliment Information

We appreciate hearing about how our employees have exceeded citizen expectations. If you had an exceptional interaction with one of our employees, feel free to complete and submit this form. We will work to identify the employee if their name is unknown and will make sure it gets forwarded to their supervisor for appropriate recognition.

Language*

CAD Incident #

Date of Compliment*

Time of Compliment*

Individual Making the Compliment

Please tell us a little bit about yourself or the person on whose behalf you are completing this form:

First Name

Middle Name

Last Name

Cell Phone

I want to remain anonymous.

First Name

Middle Name

Last Name

Cell phone

Witness Remove

Enter any individuals that have or may have witnessed the incident.

Witness Information

First name

Middle name

Last name

Address

City

State

Zip

Home phone

Cell phone

Additional phone

Additional Email

Date of Birth

Age

Race

Gender

Driver’s License #

Relationship to citizen?

Witness Relationship to Employee

There are no Employee / Officer Involved declared yet.

Employee / Officer Involved Name

Relationship to Employee / Officer Involved

Witness

Employee / Officer Involved Remove

Please provide as much information as possible about the employee with who's service you have been happy with.

Employee Information

Employee #

First name

Middle name

Last name

Age

Race

Gender

In Uniform

Description of Employee

Vehicle Information

Vehicle Make

Vehicle Model

Vehicle Color

Vehicle Number

Vehicle Characteristics

Employee / Officer Involved

Incident

Please give a description of the compliment you would like to report. The more detailed your description the better.

Date of Incident

Day of Incident

Time of Incident

Location of Incident

Address

City

State

Zip

Incident Description

Supporting Documentation

Compliment Preview

Language

CAD Incident #

Date of Compliment

Time of Compliment

Individual Making the Compliment

Please tell us a little bit about yourself or the person on whose behalf you are completing this form:

First Name

Middle Name

Last Name

Cell Phone

I want to remain anonymous.

First Name

Middle Name

Last Name

Cell phone

Witness

Enter any individuals that have or may have witnessed the incident.

Witness Information

First name

Middle name

Last name

Address

City

State

Zip

Home phone

Cell phone

Additional phone

Additional Email

Date of Birth

Age

Race

Gender

Driver’s License #

Relationship to citizen?

Witness Relationship to Employee

There are no Employee / Officer Involved declared yet.

Employee / Officer Involved Name

Relationship To Employee / Officer Involved

Employee / Officer Involved

Please provide as much information as possible about the employee with who's service you have been happy with.

Employee Information

Employee #

First name

Middle name

Last name

Age

Race

Gender

In Uniform

Description of Employee

Vehicle Information

Vehicle Make

Vehicle Model

Vehicle Color

Vehicle Number

Vehicle Characteristics

Incident

Please give a description of the compliment you would like to report. The more detailed your description the better.

Date of Incident

Day of Incident

Time of Incident

Location of Incident

Address

City

State

Zip

Incident Description

Supporting Documentation

I confirm that I have read understood the "Electronic Record and Signature Disclosure" and consent to use electronic records and signatures.

Signature

Clear