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Printable Commendation Form


If you would like to commend an employee for the Los Angeles Police Department, please fill out this form. Your may either mail this form or return it to any police facility. You may also commend an employee by writing a letter to the Chief of Police, Los Angeles Police Department, P.O. Box 30158, Los Angeles, CA 90030, or to the commanding officer of the police station in your area. Verbal commendations may be given to any Department supervisor. Your comments will be reviewed by the concerned commanding officer and the commended employee.

The Los Angeles Police Department thanks you for your interest and for taking the time to complete this form.

Date of contact with employee:
Time of contact with employee:
am pm
Location of contact:
(i.e., address, cross streets, or business name, etc.)

Employee's name serial number (if known) and assignment (name of police station or location where employee is assigned):
Employee 1:
name
serial #
assignment
Employee 2:
name
serial #
assignment
Employee 3:
name
serial #
assignment
What initiated your contact with the employee?
Police response to your call
Pick up property
Traffic stop
Visit a detective
Traffic collision
Visit/release a prisoner
Made a report at a police station
Witness at a police investigation
Other (Please enter into the box)
What would you like to commend about the employee's performance?
a
Print your name:
Address:
City:
Zip Code:
Telephone Number:
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