Citizen Compliment

Compliment Information

Individual Making the Compliment

Please enter Instruction here

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

Disability

Type of Disability(s)

Best time to contact?

Primary Language Spoken

Are you able to communicate in English?

Witness Remove

Please enter Instruction here

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 declared yet.

Employee Name

Relationship to Employee

Witness

Employee Remove

Please enter Instruction here

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

Employee

Incident

Please enter Instruction here

Date of Incident

Day of Incident

Time of Incident

Location of Incident

Address

City

State

Zip

Incident Description

Compliment Preview

Please use the following link to submit any photographs or video related to your compliment.

https://wataugapd.evidence.com/axon/citizen/public/ps-ia

Language

CAD Incident #

Date of Compliment

Time of Compliment

Individual Making the Compliment

Please enter Instruction here

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

Disability

Type of Disability(s)

Best time to contact?

Primary Language Spoken

Are you able to communicate in English?

Witness

Please enter Instruction here

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 declared yet.

Employee Name

Relationship To Employee

Employee

Please enter Instruction here

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

Please enter Instruction here

Date of Incident

Day of Incident

Time of Incident

Location of Incident

Address

City

State

Zip

Incident Description

By signing this document by electronic signature, I acknowledge and agree that my electronic signature is the legally binding equivalent to my handwritten signature.

Additionally, I hereby swear and affirm, the above to be true and correct to the best of my knowledge.