Haltom City Police Department
Compliment Information
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Your comments will be forwarded through the employee’s chain of command, including the Chief of Police. After the
review process, a copy will be placed in the employee’s personnel file and the original will be provided to the employee.
Person is a minor/needs help.
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Last Name
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Zip
Home phone
Cell phone
Additional phone
Email
Additional Email
Date of Birth
Age
Race
Gender
Disability
Type of Disability(s)
Anxiety Disorder
Bi-Polar
Deaf
Depression
In Wheelchair
Missing Limbs
Mute
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Post-Traumatic Stress Disorder
Schizophrenia
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Address
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Home phone
Cell phone
Additional phone
Email
Date of Birth
Age
Race
Gender
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In Uniform
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Section
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Vehicle Information
Vehicle Make
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Vehicle Color
Vehicle Number
Vehicle Characteristics
Employee
Incident
Date of Incident
Date of Incident
Day of Incident
Time of Incident
Location of Incident
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City
State
Zip
Incident Description
Supporting Documentation
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Compliment Preview
Language
CAD Incident #
Date of Compliment
Time of Compliment
Individual Making the Compliment
Your comments will be forwarded through the employee’s chain of command, including the Chief of Police. After the
review process, a copy will be placed in the employee’s personnel file and the original will be provided to the employee.
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
Email
Relationship to citizen?
I want to remain anonymous.
First Name
Middle Name
Last Name
Address
City
State
Zip
Home phone
Cell phone
Additional phone
Email
Additional Email
Date of Birth
Age
Race
Gender
Disability
Type of Disability(s)
Best time to contact?
Primary Language Spoken
Are you able to communicate in English?
Witness
Witness Information
First name
Middle name
Last name
Address
City
State
Zip
Home phone
Cell phone
Additional phone
Email
Date of Birth
Age
Race
Gender
Relationship to citizen?
Witness Relationship to Employee
There are no Employee declared yet.
Employee Name
Relationship To Employee
Employee
Employee Information
Employee #
First name
Middle name
Last name
Age
Race
Gender
In Uniform
Division
Section
Unit
Description of Employee
Vehicle Information
Vehicle Make
Vehicle Model
Vehicle Color
Vehicle Number
Vehicle Characteristics
Incident
Date of Incident
Date of Incident
Day of Incident
Time of Incident
Location of Incident
Address
City
State
Zip
Incident Description
Supporting Documentation
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