Nomination Forms
As per the nomination process, a nominator and nominee form need to be completed and submitted for each nomination for the Search and Rescue categories, and for all federal nominations in other award categories. The fillable PDF is the preferred format.
- Federal Nominator Form (HTML, Federal Nominator FormPDF 403 KB)
- Federal Nominee Form (HTML, Federal Nominee FormPDF 397 KB)
- Provincial/Territorial Nominator Form (HTML, Provincial/Territorial Nominator FormPDF 403 KB)
- Provincial/Territorial Nominee Form (HTML, Provincial/Territorial Nominee FormPDF 397 KB)
Note that for group nominations, a separate nominee form must be completed and signed by each group member. Group nominations are limited to a maximum of 20 members per group.
Nomination package must also include:
- written testimonials from at least two additional persons who can attest to the value and impact of the individual or group's achievements (e.g. 250 words each). Each testimonial must be dated and signed in a Word document
- additional reference material (maximum 5 pages) to support the nomination, as required (such as media clippings, etc.)
Nominations must be submitted by August 1, 2024 by email to emesa-psesc@ps-sp.gc.ca, or by mail to:
Emergency Management Exemplary Service Award
Attention: Mary-Ann Mattioli
Public Safety Canada (K1A 0P8)
2303 Stevenage Dr
Ottawa, ON K1G 3W1
Please note that this address is only for Search and Rescue nominations (federal level, and all provinces and territories), and federal nominations in the Resilient Communities, Youth, and Outstanding Contribution to Emergency Management categories.
Nominations sent to this address may be considered in a different category, as appropriate.
Additionally, if it is determined by the EMESA administrators that the scope of the nominee's achievements relates more to a different jurisdiction (e.g. provincial and territorial government instead of federal), the nominator will be informed, so the nomination can be sent to the appropriate jurisdiction.
Please contact your respective jurisdiction to submit your provincial or territorial form should it fall within that category.
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