Madison, CT · New Haven County
Civilian Recommendation for Staff Recognition
This Madison Police Department form lets a civilian recommend an officer or staff member for recognition by describing the contact and providing relevant officer, recommender, and witness information.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
Use this form to submit a civilian recommendation for staff recognition to the Madison Police Department. It asks for information about the contact, the reason for the recommendation, and any witnesses; the form notes that specific date, time, and location details can help the department investigate the recommendation. Additional pages may be attached for the narrative.
Who needs it
A civilian who wants to recommend a Madison Police Department officer or staff member for recognition can complete and submit this form.
Why it needs a notary
The form has a subscribed-and-sworn jurat; the recommender signs the statement before the notary, who completes the date and notary signature.
How to get this notarized
- 1
Download the Form
Get the Civilian Recommendation for Staff Recognition form from the Madison Police Department.
- 2
Fill In the Details
Provide your information, contact details, reason for the recommendation, and witness information if applicable.
- 3
Book an Online Notary
Arrange an online notarization for the form's subscribed-and-sworn statement.
- 4
Sign on Video
Sign the statement during the online notary session so the notary can complete the jurat.
- 5
Submit to the Department
Send the completed form and any additional narrative pages to the Madison Police Department.
Preview the form
The blank PDF straight from Madison. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I submit a staff recognition recommendation in Madison?
- Complete the form with details about the contact and reason for your recommendation, then submit it to the Madison Police Department. Attach additional pages if needed for your narrative.
- Do I need to sign this form in front of a notary?
- Yes. The form includes a subscribed-and-sworn jurat, so sign the statement before the notary, who completes the jurat.
- Can I sign this form with a commissioned online notary?
- Connecticut authorizes remote online notarization for its own notaries under Public Act 23-28, codified at Conn. Gen. Stat. §3-95b, effective October 1, 2023. Conn. Gen. Stat. §1-57 recognizes qualifying notarial acts performed outside Connecticut; confirm with the town clerk if unsure.
- What details should I include in the recommendation?
- The form asks for the date, time, and location of the contact, and says these details can help investigate the recommendation, especially if you do not know the officer's name. Include a case or CFS number if known.