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2. Did one of our police officers or employees go above and beyond? Would you like to commend a police officer or employee? Please complete this form and the information will be forwarded to that officer or employee's supervisor(s). Thank you for taking the time to recognize us.
4. First Name*
5. Last Name*
6. Email Address*
7. Cell Phone Number*
9. Address*
10. City*
11. State*
    -- Select One --NJ - New JerseyAK - AlaskaAL - AlabamaAR - ArkansasAZ - ArizonaCA - CaliforniaCO - ColoradoCT - ConnecticutDE - DelawareFL - FloridaGA - GeorgiaHI - HawaiiIA - IowaID - IdahoIL - IllinoisIN - IndianaKS - KansasKY - KentuckyLA - LouisianaMA - MassachusettsMD - MarylandME - MaineMI - MichiganMN - MinnesotaMO - MissouriMS - MississippiMT - MontanaNC - North CarolinaND - North DakotaNE - NebraskaNH - New HampshireNM - New MexicoNV - NevadaNY - New YorkOH - OhioOK - OklahomaOR - OregonPA - PennsylvaniaRI - Rhode IslandSC - South CarolinaSD - South DakotaTN - TennesseeTX - TexasUT - UtahVA - VirginiaVT - VermontWA - WashingtonWI - WisconsinWV - West VirginiaWY - WyomingOther - Non US
12. Zip Code*
14. Can we contact you if we have questions about your submission?*

    1. Yes
    2. No
15. If appropriate, can we publish your submission, either in part or in it's entirely, on our social media platorms?*

    1. Yes - With My Name
    2. Yes - Without My Name
    3. No
17. Police Officer(s) and/or Employee(s)*
19. Description of Commendation*
    Above, please include date, time, location, etc.
Leave This Blank:


21. 1. Receive an email copy of this form.
22. Email address

    This field is not part of the form submission.

23. Submit

* indicates a required field