ON-LINE OPOA AWARD NOMINATION FORM


Nominations are now being accepted for the 2008 Awards Banquet, and are due by August 1, 2008.

For additional information, please call the OPOA office at 503-393-9237.

 

SUBMITTER INFORMATION

Name
Rank
Department/Employer
Work Phone
Other Information

Your Involvement in Incident/Relationship to Nominee:


Award Recommendation (Award Committee will make final determination):

NOMINEE INFORMATION (please submit one form per nominee/incident)

Name
Rank
Service Years
Department/Employer
Business Address
Chief / Sheriff
Work Phone
Other Information

Date of Incident:                                                      Type of Incident: 

              

Actions Performed by Nominee:


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Revised: 05/27/08