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.

Nominate for a Lifesaving Award

Liverpool Shipwreck and Humane Society make honorary awards of medals, parchments, certifacteshashtag and letters of commendationhashtag to people who voluntarily put their own lives or safety hashtagat risk by saving or attempting to save others who are in danger in cases of shipwreck, drowning, fire or any other hazards.

If you would like to nominate somebody for an award you will need to provide their details and details of the rescue and those involved.

Give full details of the person you are nominating:

Title

Surname

First Names

Age

Occupation

Home Address

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

Please provide details of the 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).

Please provide details of the person saved (if known)

Surname

First Names

Age

Home Address

Did the person(s) rescued survive?

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 FIRE

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

RESCUE FROM WATER OR ICE

Was the rescue from water or ice?

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)?

GENERAL (OTHER) RESCUE

Describe the rescue.

Other Information

Have you recommended the nominee for any other award?

If yes, please state to which organisation.

Name

Address

Telephone

Nominate for the MV Derbyshire Award

The MV Derbyshire Award is an annual maritime safety award given by the Liverpool Shipwreck and Humane Society.

The award is named after the MV Derbyshire, a Liverpool hashtagship that sank in 1980. The award serves as a memorial to those who died on the ship hashtagand recognises contributions to maritime safetyhashtag.

If you, your company, or someone you know has made a significant contribution to maritime safety, please do submit a nomination form.

Please give us your details:

Name

Address

Telephone

Please provide the details of the initiative, product or service.

Name

Description

Tell us why you think you should win? (max 200 words)

Any other comments? e.g. what would winning mean to you? How would it have a positive impact? etc.(max 100 words)

please provide any supporting evidence, such as photos, testimonials, etc. whatever you feel makes your case more compelling...

Provide images or documents to support your claim

Nominate

Nominate for a Lifesaving Award

Nominate for the MV Derbyshire Award

Nominations

Medals & Awards

Additional Information

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