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Safety Star Recognition Program
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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
First Name of Nominee
Last Name of Nominee
Enter the Department the employee works under
Insert date that you witnessed this behavior
Reason for Nomination
Write-up a detailed explanation of what you witnessed this employee doing that expressed Safety Standards that warrant this nomination
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Full name of employee submitting the nomination
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