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On-Line Commendation Form

This form below can be used to tell our department about any Glendale Police Officer or Employee that deserves to be recognized or commended.  It could be for an incident in which you were involved, witnessed, or a situation in which you had contact with the person and would like to express your appreciation.

Please provide as much information as you can, and submit the form when completed.  The Professional Standards Unit or the employee's supervisor may contact you for follow up.

(Note: Fields indicated in bold are required.)

Information about you:
Last Name:
First Name:
Initial:
Home Phone:
Work Number:
Other Number:
EMail:
Date of Birth: mm/dd/yyyy
Gender:
Male    
Female    
Ethnic Origin:
Address:
Apt, Unit, or Suite Number:
City:
State:
Zip Code:
Information about the incident:
Incident Date: mm/dd/yyyy
Time:
AM/PM:
AM    
PM    
Report Number:
If you know of a report number that is related, please enter it.
Location:
Please enter the location of this incident.
Information about the Police Department Officer(s) or employee(s) involved:
Name and ID #:
If you know the officer/employee's name and ID number, please enter it here.
Name and ID #:
If there are more Police personnel involved, please indicate that information in the Incident Details below.
Information about witnesses:
Witness Name:
Witness Address:
Witness Phone:
Witness Name:
Witness Address:
Witness Phone:
Please tell us the reason and details about why you want to recognize this person(s).
Comments:
 
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