Officer Commendation Form

We believe the City of Belmont has some of the best Officers in Gaston County. Because of this, we want to make it even easier for those Officers to to receive the recognition they deserve from the community that they serve. Please complete the form below and the Officer, along with their Supervisor, will be notified.

Would you like to provide your contact information? *

First Name *

Last Name *

Phone Number *

Email Address *

Date of Officer Interaction * +

Report Number

Please provide the Officer or Officer's information below.

	Officer 1	Officer 2	Officer 3
Name	Officer 1	Officer 2	Officer 3
Vehicle Number	Officer 1	Officer 2	Officer 3

Please provide a description of the positive interaction you had with our Officer or Officers. *