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Florida Police Chiefs Association
Serving Those Who Serve Florida
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HOME
About
Press Releases
Sponsorship and Advertising
Bylaws
Executive Board and District Directors
Committees
FPCA Staff
Past Presidents
In Memoriam
Membership
Resources
Awards
Police Testing Programs
Law Enforcement Policies and Training
FPCA Participating Vendors
Alerts
LE Related Sites
STARS Program
Training/Conferences
Submit Training Proposal
Future Chiefs Seminar
New Chiefs Training
CORE Training
One Day Training Seminars
Mid-Winter Conference
Summer Conference
FPCA Foundation
Legislative
Jobs
Members Only
Lifesaving Award Nomination Form
LIFESAVING AWARD
Nomination Form
Deadline for submission: April 15th
ELIGIBILITY: All sworn, full-time Florida Police Officers, below the rank of Chief, of FPCA member agencies are eligible.
Nominations may be made for an exceptional lifesaving act that places the officer’s life in jeopardy.
Nominee's Rank
*
Nominee's Name
*
First
Last
Department/Agency
*
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Nominee's Email
*
Dates of Employment In Current Position
*
Section II - Nominator Information
Nominator's Rank
*
Nominator's Name
*
First
Last
Organization
*
Phone
*
Email
*
Please describe the exceptional lifesaving act. In addition provide documentation of the incident such as a police report.
*
Attach documentation here.
Date(s) of Exceptional Act(s)
*
Agency Head Signature
*
Date
*
Date Format: MM slash DD slash YYYY
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