Contact Information For Person Submitting Nomination Form:
Best Contact Phone
Relationship to Nominee
Nominee First Name
Nominee Last Name
Nominee Fire Department
Nominee Years of Service
Nominee Home Address
Nominee Best Contact Phone
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.