City of Atlanta	Internal Correspondence

Atlanta Police Department

M E M O R A N D U M

TO:	Atlanta Retired Police Reserve Program Coordinator

FROM:

DATE:

RE:	Reserve Officer Time and Utilization Report

Reserve Officer	Unique ID Number
Work Site

(e.g., CHE, Zone2, etc.)
Date Worked
Time In	Time Out
Total Hours Worked

Duties Performed:

I certify that Atlanta Reserve Police Officer	performed the
Duties described above in a satisfactory manner. The Reserve Officer is entitled to have his annual voluntary service diminished by the “Total Hours Worked” cited above.

Active Duty Supervisor’s Printed Name	Active Duty Supervisor’s Signature

Active Duty Supervisor’s Assignment

Note: Individual forms are required for each officer for each day worked. Reserve officers are encouraged to retain a copy for their records.

APD Form 229 revised 2/16/06

Page 2

Valued Gateway Client

2006-02-16

VLivsey

Atlanta Police Department