South San Francisco, CA · San Mateo County

No notary required

Employee Recognition Form

South San Francisco residents can use this form to recognize Police Department employees for exceptional service and provide details about the incident.

What this form is

This form lets community members submit a written recognition of South San Francisco Police Department employees for exceptional service. It asks for the sender’s contact information, incident date, time and location, involved personnel details if known, and a description of the reason for recognition. The form can include extra pages, and the sender is asked to sign it.

Who needs it

A community member who wants to recognize a South San Francisco Police Department employee for exceptional service can complete this form.

How to submit it

Complete and mail the form to the Chief of Police, South San Francisco Police Department, 1 Chestnut Avenue, South San Francisco, CA 94080.

About notarization

This form is signed without a notary; it has no sworn attachment, and the signer simply signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Employee Recognition Form.

  2. 2

    Complete The Form

    Enter your contact details, incident information, involved personnel details if known, and the reason for recognition.

  3. 3

    Add Extra Pages If Needed

    Include as many additional pages as needed to provide details about the recognition.

  4. 4

    Sign And Mail The Form

    Sign the form and mail it to the Chief of Police at the South San Francisco Police Department address shown.

Frequently asked questions

What is the Employee Recognition Form for?
It allows community members to send the Police Department a written recognition of an employee’s exceptional service and details about the incident.
What information does the form request?
It asks for your contact information, incident date, time and location, involved personnel details if known, and the reason for recognition.
Do I need a notary for the Employee Recognition Form?
No. The form is signed without a notary; it has no sworn attachment, and the signer simply signs and dates it.
How do I submit the Employee Recognition Form?
Complete and mail it to the Chief of Police, South San Francisco Police Department, 1 Chestnut Avenue, South San Francisco, CA 94080.

Need something notarized?

This Employee Recognition Form doesn’t need a notary — but if you have another South San Francisco form that does, a commissioned online notary can help.