2027 Medal of Valor Nomination

Complete the nomination form below. You may save your work and return at any time using the secure resume link emailed to you after your first save.

SAVE YOUR PROGRESS

You may begin entering nomination information immediately. Before uploading supporting materials or requesting required approvals, you must save the nomination. Your first save also creates your secure resume link.

Nominator Information

Nominator Name

Nominator Email Address

Nominator Title

Nominator Phone number

Agency Information

Agency Name

Agency Headquarters Address

Agency Website/Homepage

Nominee Information

Nomination Type

Individual

Team / Multiple Individuals

Nominee Name

Employer/Organization

Nominee Rank/Title

Years of Service

Additional Team Members

Incident Information

Incident Date

Institution/Facility Name

Institution/Facility Address

Incident Location (e.g., housing unit, recreation yard, transport sally port)

Act of Valor

Describe the qualifying incident and the actions of the nominee(s) as completely and specifically as possible. The selection committee must be able to understand the danger involved, the personal risk assumed by the nominee(s), the actions taken, and how those actions protected or attempted to protect the life or safety of another person. There is no formal word limit.

Circumstances of the Incident

Danger or Risk

Protection or Preservation of Life

Actions of the Nominee(s)

Outcome

Basis for Medal of Valor

SAVE YOUR NOMINATION TO CONTINUE

Before adding supporting materials or requesting approvals, save your nomination. Your first save will also email you a secure link so you can return later.

This nomination link is invalid or incomplete.

Supporting Materials

Supporting materials are optional. You may upload incident reports, commendations, investigative summaries, news coverage, or other documents you want the selection committee to review. Documents must be unencrypted PDF files. Upload one PDF at a time; you may repeat the process to add additional documents.

Supporting PDF

Choose PDF

No supporting document uploaded.

Facility Endorsement

This nomination must be endorsed by the Warden, Superintendent, Officer in Charge, or other official responsible for the facility at the time of the incident. The endorsing official will receive a secure link to review the complete nomination and confirm the facility's support.

Endorsing Official's Name

Endorsing Official's Title

Endorsing Official's Email Address

Facility endorsement has not been requested.

Agency Head Approval

Following facility endorsement, the nomination must receive the support of the ranking official of the agency. The agency official will receive a secure link to review the complete nomination and approve or decline the nomination.

Agency Head Name

Agency Head Title

Agency Head Email Address

Agency-head approval has not been requested.

Final Review and Submission

Review the nomination carefully before submitting it. Final submission is available only after the required facility endorsement and agency-head approval have been received. Once submitted, the nomination, narrative, and supporting materials will be locked and cannot be changed unless NAAWS returns the nomination for correction.

Before submitting, confirm that: All required fields are complete; all nominees involved in this nomination have been identified; the information is accurate; all supporting PDFs intended for committee review have been uploaded; and the current nomination version has received both required approvals.

I certify that the information in this nomination is accurate to the best of my knowledge, that all individuals included in this nomination participated in the qualifying incident as described, and that I understand the nomination cannot be edited after final submission unless NAAWS returns it for correction.

Ready...