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2. 1. Does your comment serve as a commendation from a citizen for a police officer?*
   -- Select One --YesNo
4. 2. What is the officer's name (if known)?
6. 3. What is the officer's badge number (if known)?
8. 4. Where did this incident take place?*
10. 5. When did this incident take place?*
    5. When did this incident take place?

    5. When did this incident take place?
12. 6. What is the report number for this incident (if known)?
14. 7. Please describe what happened.*
18. Please provide us with information about yourself so we may better serve you.
20. First Name*
21. Last Name*
23. Phone Number*
24. Email*
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26. 1. Receive an email copy of this form.
27. Email address

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28. Submit

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