Springfield Police Department
Personal Contact Form

The following questions are rating the officer(s) that you have made contact with whether personal or business.  The ratings are from 1 to 5, with 1 being a bad experience and 5 being a great experience.

	Bad				Very Good
1. Attitude of Officer	1	2	3	4	5
2. Physical Appearance	1	2	3	4	5
3. Professionalism	1	2	3	4	5
4. Promptness	1	2	3	4	5

Officer(s) Name:

Officer(s) Badge #:

Comments:

 

If you would like to be contacted, please fill out the following:

Name:

Address:    City:   State:    Zip:

Phone #:

To submit this form to the Chief of Police at the Springfield Police Department, please press the SUBMIT button below.  Please press it one time only and then wait for a confirmation screen to appear.

     

 

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