Person or Unit being recommended: (Include name, address, telephone #, rank, & unit #):
Name:
Address:
Telephone:
Rank/Unit:
Name of person submitting recommendation:
Date submitted :
Signature :
Facts about incident: (Use back side or attach similar documentation. Attach Case Reports and/or other supporting documents.)
Case #:
Date of Incident :
Witnesses: [text*]
Name
Address
Contact #
Please describe the reason you would like to commend this Officer(s). [text* Please describe the reason you would like to commend this Officer(s). placeholder ""]
Date of Incident:
Describe
Or via e-mail to: New Milford Police Department 49 Poplar Street New Milford, Connecticut 06776 Scerruto@newmilfordpolice.org
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