705 North Mountain Road
Newington, CT 06111-1411
Phone: (860) 953-2626
Fax: (860) 953-1978
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Member Award Nomination Form

Please fill out the form below and hit the "Submit Comments" button when finished.
Name of Nominating Person:
Date Submitted:
Contact Number:
Best Time to Call:
Relation to Nominee:
Nominee:
Job Title:
Work Location:
Agency:
Award Requested
(Read below for descriptions)
Please explain, in detail, the actions of the nominee which makes them eligible for one of these awards.

Lifesaving: For personally performing urgently required care in a lifesaving effort that extends above and beyond the general call of duty.

              Gold- Doing so at extreme personal risk.
              Silver- Doing so at great personal risk.
              Bronze- Doing so under unusual circumstances.                               

Medal of Valor: For acts of bravery or heroism, usually at the risk of serious injury or death, that exemplify public service. 

Selfless Service Award: For Union Brothers and Sisters who have sustained career ending or life-altering injuries while acting in the line of duty, and under unusual circumstances.

Meritorious Service Award:  Achievement or service outside of normal duties that enhance the principals of solidarity or public safety in our communities or those which we serve. 

Unit Citation: For distinctive service and camaraderie as a unit, under adverse conditions, acting above and beyond their normal function. 

Civilian Recognition Award: For outstanding support or assistance by a community member or organization, which had a positive influence upon the Union or its members.

If you have any questions, please feel free to contact the Union office at (860) 953-2626 or email Jason Hyland at jhyland@protectiveservices.org

© Copyright 2005, Protective Services Employees Coalition. All Rights Reserved.