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Behind The Badge Submission
 
Do you know someone who is an exceptional police officer? Nominate them by filling out the form below.
 
General Information
 
* First Name: 
 
* Last Name: 
 
* Email: 
 
* Confirm Email: 
 
* Phone: 
 
* City: 
 
* State: 
 
* Postal Code: 
 
About Behind the Badge Nominee
 
* Name: 
 
* Branch of Service: 
 
* Years of Service: 
 
* Submit Your Photo: 
 
  Please upload a JPEG file (.jpg or .jpeg)
 
* About Behind the Badge Candidate: 
 
Code Verification
 
Please type the following code in the box below it. The field is not case sensitive.
 
* The Code: 
 
Double check to make sure your entry is correct and then hit submit below.
By submitting the form you are confirming you are at least 13 years of age and have read and agree to our terms of service and privacy policy.
 
 
 

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