Jeffrey Vaden Chavis Medal of Valor Award Application

This award is dedicated to his spirit of valor. This award is one of the highest awards to be presented to an individual for his/her actions. It shall be awarded only in exceptional cases (it will not be a yearly designation) involving a hazardous performance of duties that risk the life of the individual. The act performed, or the service rendered shall be above and beyond the call of duty, of an extraordinary nature and which exposes the life of an individual to extreme danger or results in the loss of life. Documentation of the action should be in-depth and with more than one witness.

Nominee Information
Person Making Nomination

(Nominations must be made by an Association member)

Details About Nomination

List the nominee’s fire service experience including length of service, departments in which he/she has served and positions held.

Provide a narrative describing why you believe the individual is worthy of this award. Be sure to include examples of the individual's dedication, loyalty, productivity, and professionalism as described in this document. Special achievements are of particular

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