Cloverdale, CA · Sonoma County

No notary required

Civilian Commendation for a Law Enforcement Employee

Cloverdale residents can use this form to commend a Police Department employee for service they appreciate.

What this form is

This form lets community members share positive feedback about a Cloverdale Police Department employee. It asks for the date, time, and location of contact, the employee’s name or badge number if known, what initiated the contact, and what the employee did well. The department says a commendation notifies the employee and is placed in the employee’s personnel file; you may use the back or attach another page for more detail.

Who needs it

Anyone who wants to recognize a Cloverdale Police Department employee’s service can complete the form or send a letter, card, or email.

How to submit it

Mail it to the Chief of Police, Cloverdale Police Department, 112 Broad St., Cloverdale, CA 95425; deliver it to the department at that address; fax it to 707-894-5203; or email [email protected].

About notarization

This document is completed without a notary; it has no signature or sworn-attachment requirement and asks for the date of contact instead.

How to submit this form

  1. 1

    Download The Form

    Get the Civilian Commendation form from the city website or ask for one at the Police Department.

  2. 2

    Complete The Form

    Enter the contact details, employee information if known, and what you appreciate about the employee’s performance.

  3. 3

    Add More Detail If Needed

    Use the back of the form or attach another page to provide additional information.

  4. 4

    Submit To The Police Department

    Mail or deliver it to 112 Broad St., Cloverdale, CA 95425, fax it to 707-894-5203, or email [email protected].

Frequently asked questions

Do I need a notary for the Civilian Commendation form?
No. This form has no notary, signature, or sworn-attachment requirement; it asks for the date of contact instead.
How do I submit the Civilian Commendation form?
Mail or deliver it to the Police Department at 112 Broad St., Cloverdale, CA 95425; fax it to 707-894-5203; or email [email protected].
What information does the form ask for?
It asks for the contact date, time, and location; employee name or badge number if known; what initiated the contact; and what you want to commend.
Can I send a letter or card instead of using the form?
Yes. The document says you may send a letter or card, or email the Chief of Police. You may also add another page if you need more space.

Need something notarized?

This Civilian Commendation for a Law Enforcement Employee doesn’t need a notary — but if you have another Cloverdale form that does, a commissioned online notary can help.