Elko Police Department

Employee Commendation

Boxes with a red asterisk are mandatory fields.

Incident Date * +

Incident Time *

Incident Location *

Involved Employee

Involved Citizen

Commendation Type *

Performance

Conduct

Other Other

Please describe the specific details and nature of the commendation. *

NRS 197.190 and 207.280 Making false reports to public officers: (1) a person commits the crime of making a false report if he/she willfully makes any untrue, misleading, or exaggerated statement in any report to a police or fire department. (2) Making a false report is a misdemeanor under Nevada state law.

I have read the above statement and it is true and correct. *

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Printed Name *

First Name

Last Name

Phone Number

Email Address

Today's Date * +