www.bcfirechiefs.org

Burlington County Fire Service Awards Program

Nomination Form

 

Five classifications of awards:

 

Valor – Honor Award

 

    Awarded for an act or deed of personal bravery or self-sacrifice, involving risk to the  

    individual’s own life, above and beyond the call of duty. ( The award 

    recognizes an individual act, not a team effort.)

 

Meritorious Service Award

 

     Awarded for service when an individual, with diligence and perseverance,

    conspicuously performs their duty. (Protects life and/or property or otherwise performs 

    a deed that reflects credit upon the individual and the agency he or she represents)

 

Distinguished Service Award

 

    Awarded to and individual that has dedicated years of unqualified giving and service to

    the betterment of the Fire Service and profession and through his/her efforts has

    inspired and served as a leader to other public safety services professionals in

    Burlington County. (The award recognizes service to the county, not just longevity and

    service to an individual company)

 

Unit Citation

 

    Awarded for actions termed as “Outstanding Performance” by members of a unit who

    demonstrated remarkable performance relating to the protection of life and/or property.

 

Meritorious Civilian Award

 

    Awarded for actions termed as “Outstanding Performance” by a civilian who

    demonstrated remarkable performance relating to the protection of life and/or property.

    *** This nomination will only be accepted from a Chief in the Fire Service ***

 

 

Nomination Form


 

 

 

Burlington County Fire Service Awards Program

 

NOMINATION FORM

 

Please Print or Type

 

 

This nomination is for: 1_____  Valor – Honor      2 ______ Meritorious Service

 

 3____Distinguished Service   4____Unit Citation  5___ Meritorious Civilian Award

 

(Award criteria is described above)

 

Name of Nominee: __________________________________   Rank________________

 

Department __________________________________  Station Number _____________

 

Incident Date: ______________  Time: ________ Incident #, if applicable ___________

 

Name, address, and phone  # of Nominator:

________________________________________________________________________

 

 

 

 

 

Description of the act to justify the award : _____________________________________

 

 

 

 

Nominators are encouraged to attach a longer narrative statement, pictures, newspaper articles, incident reports, copies of other commendations, etc. Nominations will be considered on the basis of the facts included in the application.

 

The program recognizes acts in the 12 month period from October 1st through September 30th of each year. All nominations must be submitted to the following address by October 15th.

 

 

Chief Edward H. Kensler, Jr.

9 Mahogany Court

Eastampton, NJ 08060-4315

(609) 267-5877

   
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