City of Edina Form Center

2. Were you impressed with the professionalism, dedication or willingness to go above and beyond from a member of the Edina Police Department?

   If so, please take a moment to let us know. 

   This form helps us track compliments and ensure they are passed on to those you are commending. 

4. Your Contact Information

   While some of these fields are not required, please provide at least an email address or phone number so we are able to contact you if we have questions or would like more information for a possible official commendation or other recognition.

6. First Name*
7. Middle Name
8. Last Name*
10. Date of Birth
    Date of Birth
11. Email Address
13. Street Address
15. City
16. State
17. Zip Code
19. Home Phone
20. Cellphone
21. Work Phone
25. Commendation Information

    Please fill out as much information as you know. It's OK to leave fields blank if you're unsure or don't know.

27. Positions of Involved Staff

    1. Police Officer
    2. Investigator / Detective
    3. Office Staff

    1. Police Leadership - Chief, Deputy Chief, Lieutenants
    2. 911 Dispatcher
29. Person's Name
30. Badge Number

    If Applicable

32. Does your commendation involve more members of the Edina Police Department?

    1. Yes
    2. No
34. List Others Involved

    Please provide names and/or badge numbers of others involved.

36. Date & Time of Event
    Date & Time of Event

    Date & Time of Event
37. Location of Event
39. Details

    Please be as specific as possible.

41. Do you have a photo, artwork or document related to this event?*

    1. Yes
    2. No
43. Photo or Other Documentation

    Do you have a photo of the event that you'd like to share? Or a photo of a child's drawing? Or a document? Please upload if you do.

44. Second Photo or Documentation
46. Photo / Artwork Release

    We ask that you allow us to use your uploaded photo, artwork or other documentation in our publications, videos or social media to call out the great work by Police staff.

    This is optional. If you agree, please read the below details and check the box.

    The photo or artwork must have been taken/created by you or you have full legal rights to it. Children's artwork submitted by parents or legal guardians qualifies.

    I hereby authorize the City of Edina to use the photograph(s) or original artwork(s). I hereby authorize the City of Edina, its agents and employees to use these photographs in any current or future publication for news, advertising, or promotion purposes; in videos produced for Edina TV; on its website(s); or in any other media. I understand I will not be credited or compensated for use of the photographs or artwork.

    1. I have read and agree to the Photo / Artwork Release
50. Public Data Advisory*

    Most of the information you provide on this form is considered public record by law and would be released upon request.

    1. I have read and understand the Public Data Advisory.
52. Submission Information

    Please note that your submission is encrypted for data security, so you will not receive a copy of your submission by email. 

    You may choose to print a copy by selecting "Submit and Print" below. Your submission information will open in a new tab or window. The original tab/window will go to a confirmation page; scroll to see the confirmation message and contact information should you need that.

Leave This Blank:


54. Submit Submit and Print

* indicates a required field