CottageGrove Police Department
COMMENDATIONREPORT
Cottage Grove Public Safety collectively serves our community
compassionately providing protection of life and property.
We do this with honor, integrity, pride and professionalism.
We are Cottage Grove Public Safety.
Commendations
The Cottage Grove Police Department is committed to maintaining integrity, discipline, and a
relationship with the community
of
trust and
con
f
ide
n
ce
.
We
welcome
citizen’s
recognition
of
po
li
ce
e
m
p
loy
ee
s
performing in an effective, quality manner. If you have had a positive experience
involving one of our employees and you believe the employee should be recognized for their
performance, please take the time to fill out the form below. When you have completed the
Commendation form, either bring it to the police department, Monday through Friday, 7:00 a.m. to
4:30 p.m. or mail it to:
Chief of Police
Cottage Grove Police Department
12800 Ravine Parkway
Cottage Grove, MN, 55016
Please complete this form as fully and accurately as you are able. When describing the incident,
write down a detailed account as you remember it. Whenever possible, include the location, date,
time, and telephone number, and the names and addresses of other known witnesses. If known,
give the name(s) of the officer(s) involved.
If
you do not know the
o
ff
icer’
s
name(s), use t
h
e
narrative section to describe the officer(s) in as much detail as you can remember. If necessary,
attach
a
dd
ition
a
l
sheets
to this
f
o
r
m
.
It’s
also important that you include
as
much
as
y
ou
remember of any conversation you or others had with the officer(s) or any actions taken by the
officer(s). Describe in detail what you feel the officer(s) or any police department employee did
that should be recognized.
Citizen commendations will be forwarded to the
Ch
ie
f
,
the
employee’s supervisor,
the
co
mm
e
nd
e
d
employee and to their personnel file.
Thank you for taking the time to recognize the hard work and dedication of our employees
CottageGrove Police Department
COMMENDATIONREPORT
Cottage Grove Public Safety collectively serves our community
compassionately providing protection of life and property.
We do this with honor, integrity, pride and professionalism.
We are Cottage Grove Public Safety.
Citizen Information (person reporting commendation)
CitizenName
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HomePhone

OtherPhone

Address(IncludeStreetAddress,City,StateandZipcode)

Commendation Information
IncidentDateandTime

IncidentLocation

CaseNumber(IfKnown)

EmployeeName(Badgenumberifknown)

AdditionalEmployeeName(IfApplicable)

AdditionalEmployeeName(IfApplicable)

WitnessName

WitnessAddress

WitnessPhonenumber

WitnessName

WitnessAddress

WitnessPhonenumber

Describe Basis for Commendation (attach additional sheets if necessary)
(Continue on Page 3 if more room needed)
CitizenSignature Date
Receipt and Disposition Information (to be completed by Police)
EmployeeReceivingReport Date/TimeReceived Referredto
Commendation
Officer File
DateCommendationForwarded CaseNumber
CottageGrove Police Department
COMMENDATIONREPORT
Commendation
Continuation
Describe Basis for Commendation (Continuation)