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Award Nomination Form

The deadline has been extended to Febr. 10 at midnight.  Get those nominations in!

The deadline for these awards is December 31st for presentation at Convention in March.

Nominations must be supplemented with pertinent information supporting your nomination. To nominate someone for an award, either fill out the form below or download the PDF version. Nomination forms not fully completed will not be considered.


Nebraska Emergency
Medical Services Association

P. O. Box 1858  \\  Fremont, NE 68026-1858
Contact us at info@nemsa.org

© 2019 Nebraska Emergency Medical Services Association (NEMSA)