Paterson PD - Commendation Form

Paterson Police Department - Commendation Form
Person Making Report (Optional, But Helpful)
Full Name
Phone
Address
City, State
DOB
Officer(s) Subject to Commendation (Provide Whatever Info Is Known)
Officer(s)
Badge No.
Incident Site
Date/Time

MonthDayYear
Date
In the space below, describe the type of incident (traffic stop, street encounter) and any information about the alleged conduct. If you cannot fit your response below, feel free to use extra pages and attach them to this document. If you do not know the officer's name or badge number, provide any other identifying information.
Additional Information
Any physical evidence submitted?

YesNo
If yes, please describe:
Witnesses?

YesNo
If yes, please describe:
To Be Completed by Officers Receiving Commendation
Officer Receiving Commendation
Badge No.
Date

MonthDayYear
Date
Supervisor Reviewing Commendation
Badge No.
Date

MonthDayYear
Date
Should be Empty:

Paterson Police Department - Commendation Form