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Life Saver Award Nomination Form (PDF)

Life Saver

The Life Saver Awards are presented to any employee or board member of a cooperative who used any lifesaving procedure (CPR, Heimlich Maneuver, First Aid, etc.) which resulted in saving someone’s life; whether the lifesaving action occurred on the job or not.

This field is for validation purposes and should be left unchanged.
Nominated by:(Required)
Nomination(Required)
Max. file size: 10 GB.
Please attach a summary of the circumstances and lifesaving procedure surrounding the event.