Courage and Valor Award
Nominators Name
First Name
Last Name
Nominators Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nominators Phone
-
Area Code
Phone Number
Nominators Email
example@example.com
Relationship to Nominee
Nominee Name
First Name
Last Name
Nominee Title/Rank
Nominee Fire Department
Nominee Years of Service
Nominee Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nominee Best Contact Phone
-
Area Code
Phone Number
Qualifications/Distinguishable Traits
Please give a brief history of the nominee.
Describe the event or circumstance for which you feel the nominee displayed unparalleled courage and valor and is deserving of the 2020 Ray Downey Courage and Valor Award.
Describe in detail why you feel the nominee went above and beyond the call of duty during this event.
Please upload any supporting files.
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