Commend an Employee

Mount Vernon Police Department Civilian Commendation Form

  1. MVPD Patch
  2. Employee Commendation Form

    This form should be used exclusively to commend employees of the Mount Vernon Police Department. If you have any questions about this process or form, please call the Office of Personnel at (914)665-2574 or by email at

  3. Submitter Demographics
  4. Incident Information
  5. Please type the incident number, if known

  6. Please type the date and time of the incident 

  7. Please give address, including apartment, if possible

  8. Mount Vernon Police Department Employees involved
  9. Please enter badge number, if known

  10. Please enter Officer Name, if known

  11. Leave Blank if only one Officer involved

  12. Leave blank if only one Officer involved

  13. Witness Information
  14. Please give full name, if known

  15. If known

  16. If known

  17. Leave blank if only one witness

  18. Leave blank if only one witness

  19. Leave blank if only one witness

  20. Commendation Narrative

    Please utilize this space to explain the incident that led to the commendation, being as specific as possible.

  21. Media Upload

    Please upload any pertinent pictures or files to here (note: it may not be possible to upload complete video files due to server constraints, you can always send those to ).

  22. 'Sign' your commendation by placing your name in the boxes below
  23. Leave This Blank:

  24. This field is not part of the form submission.