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Safety Star Recognition Program

  1. Safety Star Recognition Form

    Fill-in the necessary information to recognize a fellow employee for exception safety standards exhibited while on the job, here at the City of Anacortes

  2. Enter the Department the employee works under

  3. Insert date that you witnessed this behavior

  4. Write-up a detailed explanation of what you witnessed this employee doing that expressed Safety Standards that warrant this nomination

  5. Full name of employee submitting the nomination

  6. Leave This Blank:

  7. This field is not part of the form submission.