Form EB18-008 "Civilian Commendation of Employee" - California

What Is Form EB18-008?

This is a legal form that was released by the California Department of Insurance - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the California Department of Insurance;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form EB18-008 by clicking the link below or browse more documents and templates provided by the California Department of Insurance.

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State of California
Department of Insurance
CIVILIAN COMMENDATION OF EMPLOYEE
(Form # EB18-008)
This form should be used exclusively to commend an employee of the California Department of Insurance
(CDI) Enforcement Branch. Upon completion of this form, you may either return it in person to the nearest
Regional Office; mail the form to the California Department of Insurance Enforcement Branch, Professional
Standards Unit, 9342 Tech Center Drive, Suite 100, Sacramento, CA 95826 or email the form to
PSU@insurance.ca.gov. Please make a copy of the form for your records.
Name ___________________________
Phone _______________________________
Address ____________________________________________________________________________
Date of Occurrence ________________
Time of Occurrence ___________________
Location of Occurrence __________________________________________________________
Name, Badge Numbers of Employees
Name, addresses, and telephone numbers of witnesses
involved (if known).
present at time of occurrence (if known).
_______________________________
_____________________________________________
_______________________________
_____________________________________________
_______________________________
_____________________________________________
LIST ADDITIONAL EMPLOYEES AND/OR WITNESSES UNDER THE “DETAILS” SECTION.
Details - Please provide information regarding the commendation you wish to provide an employee of CDI’s
Enforcement Branch, including name(s), time, location, witnesses, and any other information you feel would
explain the reason for the commendation. If employee names are unknown, explain what each employee
looked like. Please use additional pages if needed.
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Date __________________________ Signature _________________________________________________
DEPARTMENT USE ONLY
To be completed by the supervisor receiving this form.
Supervisor’s name __________________________
Badge number ____________________________
Date and time received ______________________
Final disposition __________________________________________________________________________
State of California
Department of Insurance
CIVILIAN COMMENDATION OF EMPLOYEE
(Form # EB18-008)
This form should be used exclusively to commend an employee of the California Department of Insurance
(CDI) Enforcement Branch. Upon completion of this form, you may either return it in person to the nearest
Regional Office; mail the form to the California Department of Insurance Enforcement Branch, Professional
Standards Unit, 9342 Tech Center Drive, Suite 100, Sacramento, CA 95826 or email the form to
PSU@insurance.ca.gov. Please make a copy of the form for your records.
Name ___________________________
Phone _______________________________
Address ____________________________________________________________________________
Date of Occurrence ________________
Time of Occurrence ___________________
Location of Occurrence __________________________________________________________
Name, Badge Numbers of Employees
Name, addresses, and telephone numbers of witnesses
involved (if known).
present at time of occurrence (if known).
_______________________________
_____________________________________________
_______________________________
_____________________________________________
_______________________________
_____________________________________________
LIST ADDITIONAL EMPLOYEES AND/OR WITNESSES UNDER THE “DETAILS” SECTION.
Details - Please provide information regarding the commendation you wish to provide an employee of CDI’s
Enforcement Branch, including name(s), time, location, witnesses, and any other information you feel would
explain the reason for the commendation. If employee names are unknown, explain what each employee
looked like. Please use additional pages if needed.
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Date __________________________ Signature _________________________________________________
DEPARTMENT USE ONLY
To be completed by the supervisor receiving this form.
Supervisor’s name __________________________
Badge number ____________________________
Date and time received ______________________
Final disposition __________________________________________________________________________