City of East Palo Alto - Officer Compliment Form

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Officer Compliment Form

Please complete as many lines of the report as you possibly can.

If you would like to make more than one report, please send us a separate Report Form for each one.

NOTE: Fields with asterisks (*) are MANDATORY - These must be completed for the report to be accepted.

Personal Information:	Please enter all of your personal contact information.
Your FULL Name:	*
Your Mailing Address:	*Optional*
Your City and Zip Code:	*Optional*
Your Email:	*
Your Home Telephone:	*Optional*
Your Work Telephone:	Optional
Officer Information :
Officer(s) involved (Include Badge # if known):	*
Details (Tell us what happened): *

	Please contact me.

East Palo Alto Police Department
2415 University Avenue, CA 94303
Tel: (650) 853-3160; Fax: (650) 853-3106