Citizen Compliment

Outstanding Service Provided by Employee Information

Mission: “We are dedicated to safeguarding our community by improving quality of life and upholding public trust”

Vision: “We endeavor to be law enforcement’s benchmark for excellence as we seek to eliminate crime and social disorder in collaboration with our community partners”

Your constructive comments about our service provided will help us maintain our high level of service and foster a healthy relationship with our community.

Language*

Date of Compliment*

Time of Compliment*

Individual Making the Compliment

Individuals posting a compliment may remain anonymous, which means your name and contact information will only be shared with the Internal Affairs Unit, should we need to contact you for further information.

Person is a minor/needs help.

Yes

Information of individual completing the form on behalf of another:

First Name

Middle Name

Last Name

Address

City

State

ZIP

Home Phone

Cell Phone

Relationship to citizen?

I want to remain anonymous.

First Name

Middle Name

Last Name

Address

City

State

Zip

Home phone

Cell phone

Additional phone

Additional Email

Date of Birth

Age

Race

Gender

Witness Remove

If you are aware of any witnesses, other than yourself, to the service provided, please complete as much of this section as possible.

Witness Information

First name

Last name

Address

City

State

Zip

Home phone

Cell phone

Date of Birth

Age

Race

Gender

Witness

Employee Remove

If you are aware of the name or badge number of the employee(s), please include in this section. If the employee is unknown, please provide as much physical description as possible.

Employee Information

Employee #

First name

Last name

Age

Race

Gender

In Uniform

Description of Employee

Vehicle Information

Vehicle Make

Vehicle Model

Vehicle Color

Vehicle Number

Vehicle Characteristics

Employee

Incident

Please describe, in as much detail as possible, the service provided by the involved employee(s).

Date of Incident

Day of Incident

Time of Incident

Location of Incident

Address

City

State

Zip

Incident Description

Supporting Documentation

Outstanding Service Provided by Employee Preview

Mission: “We are dedicated to safeguarding our community by improving quality of life and upholding public trust”

Vision: “We endeavor to be law enforcement’s benchmark for excellence as we seek to eliminate crime and social disorder in collaboration with our community partners”

Your constructive comments about our service provided will help us maintain our high level of service and foster a healthy relationship with our community.

Language

Date of Compliment

Time of Compliment

Individual Making the Compliment

Person is a minor/needs help.

Information of individual completing the form on behalf of another:

First Name

Middle Name

Last Name

Address

City

State

ZIP

Home Phone

Cell Phone

Relationship to citizen?

I want to remain anonymous.

First Name

Middle Name

Last Name

Address

City

State

Zip

Home phone

Cell phone

Additional phone

Additional Email

Date of Birth

Age

Race

Gender

Witness

If you are aware of any witnesses, other than yourself, to the service provided, please complete as much of this section as possible.

Witness Information

First name

Last name

Address

City

State

Zip

Home phone

Cell phone

Date of Birth

Age

Race

Gender

Employee

If you are aware of the name or badge number of the employee(s), please include in this section. If the employee is unknown, please provide as much physical description as possible.

Employee Information

Employee #

First 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 describe, in as much detail as possible, the service provided by the involved employee(s).

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