Commendation/Remarks Form

This form may be used to provide either a remark, commendation for, or complaint against, any campus or member of our agency. In all instances, we request that you provide your name, email address, and a phone number in case we need to contact you at a later date.

Name:

Your CCRI E-mail address:

Phone Number:

Please advise the nature of this contact and/or the Police Officer involved

regarding,

Please indicate the date and approximate time that the incident occurred

Date , Time

Please provide a brief description of the incident