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Memorial Form

NEMSA will hold a candlelight memorial service during the January and March Conferences. A memorial candle will be lit to honor and recognize our fallen EMS brothers and sisters. Please fill out the information below if you would like to recognize someone who has not been previously recognized.

You may also download the memorial form and fill out the PDF.


Nebraska Emergency
Medical Services Association

PO Box 102  \\  Ord, NE 68862
Contact us at info@nemsa.org

© 2021 Nebraska Emergency Medical Services Association (NEMSA)