OTOA :: Ohio Tactical Officers Association

OTOA Life Saving Award

AGENCY POINT OF CONTACT SECTION

Full Name of Individual Submitting Nomination(*)

Please type your full name.

Agency(*)

E-mail(*)

Invalid email address.

Cell Phone(*)

123-456-7890

Preferred follow up(*)

E-mailPhone

EVENT INFORMATION SECTION

Date of Incident(*)

Please select a date when this event occured

Please, DO NOT send us the full police report of the incident.
Enter a narrative detailing the facts supporting this award in the next section.

Narrative of Nomination(*)

Invalid Input

Photo Upload of Nominated Person(s)

Invalid Input

Image Upload of Agency Logo or Badge

Invalid Input

Video(*)

YesNo

Invalid Input

Video can be uploaded at this address: CLICK HERE

Video Upload(*)

YesNo

Invalid Input

AWARD CANDIDATE SECTION

Full Name of Candidate(s)(*)

Please type your full name of candidate(s)

Agency(*)

Please type your full name of Agency

Spam Blocker

- numbers only

(*)

Invalid Input