Award Program - Nomination Form

 

The purpose of the Arson Alarm Local Award program is to reduce the crime of arson by eliciting public participation in solving arson crimes. The Arson Alarm Foundation board reserves the right to make awards from program funds when it deems a nominee’s actions have met this purpose.

 

Criteria for making a nomination
 

  • Must be based on information of fires in the state of Washington only

  • Will only consider awards after the arrest and/or conviction (conviction is not required)

  • Arrest or Conviction must have occurred within a twelve month period prior to nomination

  • Nominations must come from a member of the fire, law enforcement, legal agency, insurance industry or anyone deemed  appropriate by the Arson Alarm Foundation

  • Person being nominated should have been instrumental in the success of the investigation and arrest of those responsible for the fire

Nomination Date

-- mm/dd/yy

Nominator's Name

Name
Title
Agency

Address

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Phone Number

Work Phone
Home Phone

Fax

FAX

Email Address

E-mail

Date of Fire

-- mm/dd/yy

Fire Location

Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Responding/Participating Fire Department

Organization

Date of Arrest

-- mm/dd/yy

Nominee's Name

Name

Nominee's Phone Number

Work Phone
Home Phone

The nominator may withhold the identity of the nominee: (1) if the nominator feels direct physical harm or acts of retribution could result from public knowledge of the informant's identity (2). If the release of the informant's identity would jeopardize fire or legal procedures.

Circumstances leading to nomination



Copyright © 2008[Arson Alarm]. All rights reserved.
Revised: 01/15/08