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Nominate

If you would like to Nominate someone for an award you can either fill in the online nomination form (below) or download a Nomination Form, print a copy off, and when completed post to us.

If you require a duplicate certificate for a previous award please Click Here

Online Nomination


DETAILS OF THE RESCUE IN ALL CASES

Give full details of the person you are nominating for an award:

Title

Surname

First Names

Age

Occupation

Home Address

Have you informed the nominee/s that you have nominated them?

If they have been informed have they consented to you providing their personal data?


Witnesses

Were you a witness to the rescue?

Did anyone else assist in the rescue**?

If yes, give their name. If more than two people were involved, please fill in their details too (Full Names, Adresses).


Person Saved (if known)

Surname

First Names

Age

Home Address

Did the person(s) rescued survive


The Rescue

Give as full a description as you can of the rescue or attempted rescue and comment on the degree of danger.

Where did the incident happen?

When did the incident happen?

What time of day was it?

What were the weather conditions?

Were the emergency services called?

If yes, which service(s)?

Did the rescuer give any form of resuscitation?

What form of resuscitation did the rescuer give?

Does the nominee have any training in First Aid, give details if known?


RESCUE FROM WATER OR ICE

Was the rescue from water or ice?

If water, please answer the following;

How deep was the water where the rescue took place?

If the rescuer had to swim, how far (there and back)?

Describe the water conditions (height of waves, strength of current)?

Please email/send us copies of any relevant Press cuttings


RESCUE FROM FIRE

Describe the fire (building, flames, smoke, internal, external, vehicle).

Please email/send us copies of any relevant Press cuttings


GENERAL (OTHER) RESCUE

Describe the rescue.

Please email/send us copies of any relevant Press cuttings


Other Information

Have you recommended the nominee for any other award?

If yes, please state to which organisation.


YOUR DETAILS

Your Name

Your Address

Your Email

Your Telephone

Nominations

Click here to nominate anyone who has carried out/undertaken an act of bravery.
Nominate
Awarding people who voluntarily put their own lives or safety at risk save others.

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