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2. 
4. Personnel to be Commended
6. Name
7. Badge
9. Name
10. Badge
12. Name
13. Badge
15. Name
16. Badge
18. Name
19. Badge
21. Person Making Compliment
23. First Name
24. Last Name
26. Address1
28. Address2
30. City
31. State
32. Zip
34. Phone Number
36. Occurrence
38. Location
40. Date and Time
    Date and Time

    Date and Time
42. Details of Occurrence*
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47. 1. Receive an email copy of this form.
48. Email address

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49. Submit

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