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Customer Service Comment Form
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Date of contact with Police Department Employee
*
Date of contact with Police Department Employee
Time
Time
Location of Contact
*
Employee’s name and serial number
*
What initiated your contact with the employee?
*
Police response to your call
Visit with a detective
Made a report at the police station
Traffic stop
Pick up property
Traffic Collision
Witness at a police investigation
Visit/release of a prisoner
Other
What would you comment about the employee’s performance?
*
Would you like to be contacted by a police supervisor?
Yes
No
First Name
Last Name
Address1
City
State
Zip
Email Address
Telephone Number
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