Memorial Candle Form

NEMSA Memorial Committee will hold a candlelight service at Winter and Spring Conference. A memorial candle will be lit to recognize a member of a rescue service, public safety group, and others who you feel have made a contribution to EMS in your community. Please fill out the information below if you would like to recognize someone that has not been previously recognized, or has been previously recognized. The completed form should be submitted to the NEMSA Booth or NEMSA Memorial or Board Member by 4:00pm the Saturday of the Banquet.