Please provide details in the nomination form. If available, upload supporting documentation such as officer reports, newspaper articles, news media transcripts, video or audio recordings, and other information that provides background information for the nomination. If there is more than one nominee for the event, please detail how each person was involved.

Department of Public Safety Awards Program

Award category for this nomination*

Nominee(s) name and title
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Nominator(s) name and title
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26.4 Appendix B: Award Nomination Form

  • Effective date: March 21, 2019
  • Revised date: 
  • Reviewed date: May 2024