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Citizens Customer Service Award Nomination Form

2. Say thanks to someone special! The City of Shaker Heights recognizes those employees who have performed exceptional work each year. Shaker residents can nominate a city employee who has touched their lives. The Citizens Customer Service Award is given to a city employee who provided outstanding customer service concerning one incident or a pattern of assistance in multiple incidents by:

4. • exceeding resident expectations
   • going the extra mile to find a resolution
   • providing exemplary service well beyond what the situation(s) required
   • responding with extraordinary kindness and/or attention

8. Nominee

10. Employee Name(s)*

12. Department (if known)

13. Date(s) of service*

15. Describe the situation (why are you nominating this employee)*

19. Nominated by:

21. First Name*

22. Last Name*

23. Phone*

25. Address*

26. Email

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field