Commend an Employee

2. 
3. Employee Commendation Form

   This form should be used exclusively to commend employees of the Mount Vernon Police Department. If you have any questions about this process or form, please call the Office of Personnel at (914)665-2574 or by email at socialmedia@pd.cmvny.com

7. Submitter Demographics
9. Name
10. Email Address
12. Address
14. City
15. State
16. Zip Code
18. Cell Phone Number
19. Landline Number
23. Incident Information
25. Incident Number (If known)

    Please type the incident number, if known

26. Incident Date and Time (if Known)*

    Please type the date and time of the incident 

28. Incident Location*

    Please give address, including apartment, if possible

32. Mount Vernon Police Department Employees involved
34. 1st Officer Badge Number

    Please enter badge number, if known

35. 1st Officer Name

    Please enter Officer Name, if known

36. 1st Officer Sex
    -- Select One --MaleFemaleUnknown

    Enter Sex of Officer

37. 1st Officer Race
    -- Select One --WhiteBlackHispanicAsian Unknown

    Enter Officer Race, if known

39. 2nd Officer Badge Number

    Leave Blank if only one Officer involved

40. 2nd Officer Name

    Leave blank if only one Officer involved

41. 2nd Officer Sex
    -- Select One --MaleFemaleUnknown

    Leave blank if only one Officer involved

42. 2nd Officer Race
    -- Select One --WhiteBlackHispanicAsianUnknown

    Leave blank if only one Officer involved

46. Witness Information
48. 1st Witness name

    Please give full name, if known

49. 1st Witness Address

    If known

50. 1st Witness phone number

    If known

52. 2nd Witness name

    Leave blank if only one witness

53. 2nd Witness Address

    Leave blank if only one witness

54. 2nd Witness phone number

    Leave blank if only one witness

58. Commendation Narrative

    Please utilize this space to explain the incident that led to the commendation, being as specific as possible.

60. Narrative*
62. Media Upload

    Please upload any pertinent pictures or files to here (note: it may not be possible to upload complete video files due to server constraints, you can always send those to socialmedia@pd.cmvny.com ).

64. Attach your files here
66. 'Sign' your commendation by placing your name in the boxes below
68. First Name
69. Last Name
71. Date and time of submission
    Date and time of submission

    Date and time of submission
Leave This Blank:


73. 1. Receive an email copy of this form.
74. Email address

    This field is not part of the form submission.

75. Submit Submit and Print

* indicates a required field