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2. Please fill out this form if you would like to Commend or Recognize an employee of the Bentonville Police Department
3. Date and Time
   Date and Time

   Date and Time
5. Name
6. Email Address
8. Address (not required)
10. City (not required)
11. State (not required)
12. Zip Code (not required)
14. Phone Number
16. Employee(s) Name or Badge Number
18. Employees(s) Name or Badge Number
20. Employee(s) Name or Badge Number
22. Location of Incident
24. Details of Commendation or Recognition
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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

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