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Employees Commendation

3. 
6. Baton Rouge City Police Department
8. Employees Commendation
10.  
    If you would like to commend an employee of the Baton Rouge Police Department, please fill out this form. You may also commend an employee by writing a letter to the Chief of Police. Verbal commendations may be given to any department supervisor.

    Submit your request to this address:

    • Contact Us: 225-389-3802
    • Police Department
    • 9000 Airline Highway
    • Baton Rouge LA 70815
12.   Required information to be filled out.
14. Date of Incident*
    Date of Incident
15. Time of Incident*
    Time of Incident
17.  
    First Name
18.  
    Last Name
20. Email
21. Phone Number
23. Your Address
    Address 1
25.  
    Address 2
27. City
28. State
29. Zip Code
31.  
    Location of Incident
33.  
    Name of BRPD Officer(s) or Employee(s)(if known)
34.  
    Badge # of BRPD Officer(s) (if known)
36.  
    Name of BRPD Officer(s) or Employee(s)(if known)
37.  
    Badge # BRPD Officer(s) (if Known)
39.  
    Please write a brief summary of your commendation.
41. Describe the Incident (Upload Documents/Pictures/Videos)
    txt, pdf, doc, docx, gif, jpg, png, avi, mov, mp3, mp4, wav files only; 14 MB max
43. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
45. Electronic Signature
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit Submit and Print

* indicates a required field