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Award Nomination Form

  1. Submission for:*

  2. Shift on Duty

  3. Stations that responded

  4. If a crew award please ensure all personnel that responded on the call are listed.

  5. Please submit additional documentation (i.e. newspaper articles, letters, witness statements, etc.) to Awardscommittee@cityofelgin.org

  6. Please cc' this form to the Staff Officers assigned to the shift on which the incident occurred.

  7. Leave This Blank:

  8. This field is not part of the form submission.