City of Costa Mesa

EMPLOYEE OF THE MONTH NOMINATION

Address, email and/or phone number:

I wish to nominate of the Department for consideration as Employee of the Month for the following reasons (describe actions/contributions/basis/facts for nomination):

Nominations may be mailed to:

City Clerk's Office
City of Costa Mesa
PO Box 1200
Costa Mesa. CA 92628-1200

By Fax: (714) 754-4942