Contact

Laurie Frey
Wisconsin State Fire Inspectors Association
262.719.3006
treasurer@wsfia.org

WSFIA Award Nomination Form

We invite you to nominate an exceptional person who has displayed unwavering dedication and outstanding contributions in the fire service in Wisconsin. These prestigious awards are bestowed upon a deserving firefighter, be it a career or volunteer, who has demonstrated superior achievement in the field of fire prevention/public education/fire chief

* Required information

Nominator Information

* First Name:
* Last Name:
* Email Address:
* Confirm Email Address:

Department Information

* Department:
* Address 1:
Address 2:
* City:
* State:
* ZIP Code:
Job Title:

Nominee Information

*
What award are you nominating this person for?
- Fire Inspector of the Year
- Public Educator of the Year
- Fire Chief of the Year
* Nominee First and Last Name
* Nominee Department Name and Address
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* Write a short description outlining the nominees accomplishments, service and reasons you feel qualifies them for this award. Send additional pages if needed to treasurer@wsfia.org
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WSFIA Award Nomination Form

Nominator Information

Department Information

Nominee Information

What award are you nominating this person for?