Long Hill Township Police Department
Employee Commendation
Date of contact with employee: ______________________________________
Time of contact with employee: __________________________ AM PM
Location of contact (i.e., address, cross streets, or business name, etc.)
________________________________________________________________________
Employee’s name, Badge Number (if known) and assignment
Name Badge Number Assignment
Name Badge Number Assignment
Name Badge Number Assignment
What initiated your contact with the employee?
What would you like to commend about the employee’s performance?
________________________________________________________________________
Print your Name ____________________ Signature ___________________________
Address ________________________________________________________________
Street Address City State Zip Code
Telephone Number ________________
Received by:_____________________ Employee’s Signature: _________________
Please print and sign the completed form. Mail the completed form to:
Long Hill Township Police Department
Attn: Chief of Police
264 Mercer Street
Stirling, NJ 07980
