2021 First Responder of the Year Award

Hello and welcome. My office is seeking nominations for the 2021 First Responder of the Year Award. This award highlights the great work the brave men and women of our emergency services are doing in our communities. If you know a firefighter, police officer or EMS worker from my Assembly district who embodies community service, selflessness, and dedication, please fill out the information below. One deserving individual will be selected and invited down to the State Capitol in October to be honor for their work.

Please provide your first and last name.
Please provide your contact information (phone number and email).
Please provide the first and last name of the person being nominated.
Please provide the contact information (phone number and email) for the nominee.
Please provide the municipality the nominee serves and their department.
Please provide the nominee's position or job title.
Please provide a description of this person's accomplishments and why you feel they are deserving of this award.