Richard W. Bland Memorial Award 2026

Richard W. Bland Memorial Award 2026 | Nomination Form

Nominee Contact Information
Nominee's Name*

First NameLast Name
Nominee's Job Title*
Nominee's Company/Affiliation*
Nominee's City/Country*

Street Address

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Nominee's Email*
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Richard W. Bland Memorial Award 2026 | Nomination Form

About the Nominee
Is the nominee a member of RIMS?*

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Provide examples of embracing service by the nominee on either the state, provincial or federal level. (e.g. influencing or securing passage of legislation favorable to insureds; engaging in actual formulation and sponsoring introduction of bills favorable to insureds; representing the interests of the risk management community in any legislative or regulatory activity or issue, etc.)*
Provide examples of the nominee's involvement in educating the public, legislative or regulatory personnel of proposed changes. (Examples may include narrative of such activities; copies of event schedules where the candidate presented information to a group of insurance consumers, business leaders, or political figures.)
Please upload relevant documents here. (e.g. copies of any of the candidate's published articles; copies of articles published in a local, state, or national publication that quote the candidate or describes the candidate's legislative activities; letters, testimony, or presentations before committees of the legislative bodies and commissions of such bodies.)

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Provide biographical information about the candidate in the space below (or upload it above).*

Richard W. Bland Memorial Award 2026 | Nomination Form

Nominator Contact Information
Nominator's Name*

First NameLast Name
Nominator's Job Title*
Nominator's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Nominator's Phone Number*
Please enter a valid phone number.
Nominator's Email*
example@example.com
Should be Empty:

Richard W. Bland Memorial Award 2026 | Nomination Form