CITIZEN REQUEST FOR COMMENDATION

 

DATE:___________________________

 

 

NAME:_________________________________________

 

 

ADDRESS:_____________________________________________ CONTACT PHONE:___________________

 

 

OFFICERS NAME:________________________________ UNIT/BADGE NUMBER (if known):___________

 

NARRATIVE OF THE INCIDENT:

(When completing this form, include as much information as possible about your contact with the officer.  If the officer's name is not known, the location, date and time will assist us in identifying the officer.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Continue on a second sheet if necessary.

 

SIGNATURE:____________________________________

After completing and signing this form, please mail or deliver to:

 

Sheriff Steve Toliver

Creek County Sheriff’s Office

124 East Dewey Street

PO Box 927

Sapulpa, Oklahoma 74067