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2. The Tom McGaughey Fire Service Award recognizes exemplary accomplishments and acts of heroism by firefighters and other persons at fire-related incidents in Kansas. The individual or team is recognized for their acts above and beyond their basic duties and responsibilities, and for exemplifying the finest traditions of the fire service.
4. I wish to nominate:
6. First Name
7. Last Name
9. Nominee department/station
11. Reason for nomination
13. The nomination must also include adequate supporting documents to substantiate bravery and courage above and beyond the call of duty. These should include the official fire report, supplemental fire reports and narratives, news articles and information on any other awards or recognition for the incident.
15. Supporting Documentation
    PDF files only
17. Your name:
19. First Name
20. Last Name
22. Phone Number
23. Fax Number
25. Email Address
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field