In October, the State Assembly will be having a special ceremony to honor first responders in our state. Each district will select one First Responder of the Year to recognize and I am looking for your help! Nominations can be made for a specific heroic action; length of service; something they do for the community during their course of work; a significant professional achievement; etc. If you know a first responder (police officer or sheriff's deputy, firefighter, any level of EMS provider) that is deserving of this award, please fill out the form below. One first responder from the 39th Assembly District will be selected and invited to the ceremony in October.

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 nominated.
Please provide the contact information (phone number and email) for the nominee.
Please provide a description of this person's accomplishments and why you feel they are deserving of this award.