Valor Awards Nomination Form - Melbourne Regional Chamber
Recognizing Brevard County's Military, Police, Fire & Rescue Personnel

Thursday, August 22nd, 2019
Hilton Melbourne Rialto Place

Nomination Deadline for Medal of Valor, Life Saving Medal, Award of Merit and Fallen Officers: Monday, July 8th, 2019 at 4:00pm

Nomination Deadline for School Resource Officers: Monday, July 8th, 2019 at 4:00pm

Please have the following available before beginning the process of completing this form: Nominee name, title, & Email address. Name, title and Email address of nominee's chief or commanding officer (if other than the nominator). High resolution image of your nominee(s) to upload. Any additional supporting documents.

If you are filling out this form for the first time, please click the New Submission button on the left .

If you are returning to edit or complete a previous submission, please fill out the email address and access code you set up previously and click Edit Submission.

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