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Employee Nomination Form

Complete this form to nominate a City employee

Please correct the field(s) marked in red below:

This page is for submitting nominations for Employee of the Month. If a City employee went above and beyond to assist you, please complete this nomination on their behalf. Thank you. 

1
Date of Occurrence
2
Time of Occurrence (indicate AM/PM)
3
Name of City Employee
4

Explain Reason for Nomination

5

Your Full Name (First & Last)

6

Your Phone Number

7

Your Email Address