EMPLOYEE RECOGNITION PROGRAM

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RECOGNITION CERTIFICATE FORM

Supervisor Name *

Supervisor Title *

Supervisor Email Address *

Please type the first part of your email in the following field and then select the correct domain from the from the Email Domain dropdown menu. EXAMPLE: If your email is "john.smith@lacity.org", type "john.smith" below and select "@lacity.org" from the list in the next question.

Email Domain *

Department/Bureau *

Employee To Be Recognized *

Employee Classification or Title *

Category of Recognition *

For descriptions of each category, click here: https://per.lacity.org/employee-resources/engagement-training/employee-recognition.html

Details of Recognition *

(This will be included on the certificate. Please phrase this section directed toward the employee, using words such "you" and "your.")

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This form was created inside City of Los Angeles.