Citizen Commendation Form

2. Citizens may file a commendation about Police Department personnel on this form. You may hand-deliver or mail the completed form to the Pelham Police Department, Office of the Chief of Police, 14 Village Green, Pelham, NH 03076. The form can also be emailed to our administration.

   Information

   Please provide as much information about the reason you had contact with the officer/employee. Specific information about the date, time, and location will help in locating the information if you do not know the officer/employee’s name.

4. Involved Officer/Employee(s) Information: *
6. First Name:*
7. Last Name:*
9. Your Phone Number:*
11. Address:*
13. City:*
14. State:*
15. Zip Code:*
17. Date / Time of Contact:
    Date / Time of Contact:

    Date / Time of Contact:
19. Location:
21. Witness Names
23. Witness Phone Numbers
25. Submitted by:*
26. Submitted Date:*
    Submitted Date:
28. Email:*
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field