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Online Commendation Form

It's very rewarding to everyone in our department to know that people appreciate their hard work and dedication. Please take a moment to complete this form so that we may recognize this officer for their diligent service.

You may also download the Commendation Form, complete and mail to:

Attn: Capt. Thurman
Independence Police Department
223 N. Memorial Dr
Independence, MO 64050

Contact Information
Your Name:
Phone Number:
Address:
Do you wish to be contacted?

Commendation
Date of Incident: mm/dd/yyyy format
Time of Incident:
:  
Location:
Name(s) of Officers or Employees Involved:   
  
Description:
(if name unknown)
Race:   Age:  
Height:   Weight: 
Sex: 
Clothing: 
Vehicle Number and/or Description:
Badge Number(s):   
  
Details for Commendation:

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