Susanville, CA · Lassen County

No notary required

Citizen’s Commendation Form

Anyone can use this form to commend a Susanville Police Department employee for outstanding service to the community.

What this form is

The Susanville Police Department Citizen’s Commendation Form lets anyone submit appreciation for a police employee’s outstanding service to the community. It asks for the submitter’s contact information, involved employee names or descriptions, the occurrence location, date and time, and a description of the event. Sign and date the form; attach additional pages if needed.

Who needs it

Anyone who wants to recognize a Susanville Police Department employee for outstanding service to the community can submit this form.

How to submit it

Mail or bring the completed form to the Susanville Police Department, as directed on the form.

About notarization

This document is signed without a notary; the signer just signs and dates the form.

How to submit this form

  1. 1

    Download The Form

    Download the Citizen’s Commendation Form.

  2. 2

    Complete The Form

    Fill in your contact information, details about the employee, and the occurrence.

  3. 3

    Gather Attachments

    Attach additional pages if necessary to describe the event.

  4. 4

    Sign And Submit

    Sign and date the form, then mail or bring it to the Susanville Police Department.

Frequently asked questions

Who can submit a Citizen’s Commendation Form?
Anyone can submit a commendation recognizing a police employee’s outstanding service to the community.
What information does the form request?
It requests your contact information, employee names or descriptions, occurrence location, date and time, and a description of the event.
How do I submit the Citizen’s Commendation Form?
Complete the form and mail it or bring it into the Susanville Police Department.
Do I need a notary for the Citizen’s Commendation Form?
No. The form is signed without a notary; the signer just signs and dates it.

Need something notarized?

This Citizen’s Commendation Form doesn’t need a notary — but if you have another Susanville form that does, a commissioned online notary can help.