Archie League Medal of Safety Award Nomination

Nominator Information

Nominator Name*

First NameLast Name

Nominator Facility*

NATCA Member*

YesNo

Email*

example@example.com

Phone Number*

Nominee Information

Nominee Name*

First NameLast Name

Facility*

Region*

NATCA Member*

YesNo

Team Members

Enter names of all members of the team, if applicable.

Pilot Details

Please include as many details as possible.

Pilot Name (If Known)

First NameLast Name

Aircraft ID(s)

Aircraft Type(s)

E-mail (If Known)

example@example.com

Phone Number (If Known)

Event Details

Date of Event*

MonthDayYear

Time of Event (approximate)

Hour Minutes

AM/PM Option

Was an emergency declared?*

YesNo

Type of Incident*

Description of Event*

Please include as much detail as possible. You may also attach a document below, if desired.

Supporting Documentation

Please submit as much information as possible. Upon submission an email will be sent containing a link to upload additional documentation, as necessary.

Falcon Link

Link to bookmarked event on Falcon

Additional Information

News coverage, pilot letters, etc.

Radar and Audio Recordings

After submission, you will be redirected to a confirmation screen and will receive a confirmation email. If you experience any issues or have any questions send an email to archie-submissions@natca.org for assistance.

Archie League Medal of Safety Award

Please click HERE for the new submission form.