Purpose. This form is used for citizens to notify Village Administration of employees that should be recognized for their service to the Village.
* Information is required.
Contact Information
| * The name of the employee and why they should be recognized |
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Check here to have email confirmation of this request sent.
* Information is required.
Notes:
If you send us a message, you'll receive a Tracking Number allowing you to follow-up with your request, at your convenience.
Information we receive may be considered public information which is subject to disclosure under current state law. Learn more about our Privacy Policy.
Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.