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Commendation Form

The mission of the Palo Alto Police Department is to provide excellent police service and build "community partnerships". Often while striving to accomplish this mission our personnel provide service "above and beyond" the norm. We appreciate it when a member of our community takes the time to let us know when one of our employees does a good job.

Please feel free either to call, write, or use the form below to let us know if you have received commendable service from any of our employees.

First employee's information:    

Employee's Name

Employee's ID Number

Place an "X" in this box if the Employee's Name/ID Number is unknown:

Police Officer

 
Community Services Officer
Dispatcher
Records Specialist
Parking Enforcement Officer
Other:
   
Second employee's information:    

Employee's Name

Employee's ID Number

Place an "X" in this box if the Employee's Name/ID Number is unknown:

Police Officer

 
Community Services Officer
Dispatcher
Records Specialist
Parking Enforcement Officer
Other:
   
Third employee's information:    

Employee's Name

Employee's ID Number

Place an "X" in this box if the Employee's Name/ID Number is unknown:

Police Officer

 
Community Services Officer
Dispatcher
Records Specialist
Parking Enforcement Officer
Other:
   
Fourth employee's information:    

Employee's Name

Employee's ID Number

Place an "X" in this box if the Employee's Name/ID Number is unknown:

Police Officer

 
Community Services Officer
Dispatcher
Records Specialist
Parking Enforcement Officer
Other:
   
What is the nature of your commendation?
REQUIRED
Location where the Incident occurred
REQUIRED
Date when incident occurred

If you are unsure of exactly when the incident occurred, please list the dates which the incident occurred between (Example: 08/01/07 to 8/11/07)
REQUIRED
Time of Incident

If you are unsure of exactly when the incident occurred, please list the dates which the incident occurred between (Example: 8:00am - 5:00pm)
REQUIRED
What are the details of your commendation?
REQUIRED
     

Who is making the Commendation?
We would like notify the employee as to who is making the commendation about them. A record of this commendation will be placed in the employee's personnel folder for the department's use. You may remain anonymous. However, anonymous commendations cannot be placed in the employees personnel folder.

Your First Name
 
Your Last Name
 
Your Mailing Address
 
Your Address 2
(Apt. No., Suite)
City
State
Zip
 
Your Phone
 
Your Email
(For your submission receipt)
   

 

 

 

 
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