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2. Any person who wishes to commend an officer or employee of the Burlington Police Department may do so by submitting the form below.

   If you would like to recognize an officer for performing his/her duties in a manner that you think is exceptional and reflects favorably upon the officer and the Department, then we encourage you to take a moment and tell us about it. Please provide as much information as possible about the officer as well as the reason he or she should be commended.

4. Tell us about yourself

   This information will help us get in touch with you if we have any questions. 

6. Name*
7. Email Address*
9. Address
11. City
12. State
13. Zip Code
15. Phone Number*
16. Fax Number
18. Tell us about the incident

    This information will help us locate the call for service and identify the officer. 

20. Date and approximate time of the incident*
    Date and approximate time of the incident

    Date and approximate time of the incident
21. Call number, if known
23. Location*
25. Officer's name, if known
27. Why should this officer be commanded?

    Tell us about your interaction with this officer and the reason why you think he/she should be commanded. 

29. Tell us about what happened*
Leave This Blank:


30. Submit

* indicates a required field