Online Nomination Form

Nominations are now being accepted
for the 2010 Awards Banquet, and are due by August 1, 2010.

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

SUBMITTER INFORMATION

Your Name (required):

Your Rank (required):

Department/Employer (required):

Work Phone (required):

Other Information:

Your Email (required):

Subject

Your Involvement in Incident/Relationship to Nominee (required):

Award Recommendation (Award Committee will make final determination) (required):

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

Name (required):

Rank (required):

Service Years (required):

Department/Employer (required):

Business Address (required):

Chief/Sheriff (required):

Work Phone (required):

Other Information:

Date of Incident (required):

Type of Incident (required):

Actions performed by nominee (required):

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