Hoosier First ResponderMedal of Honor

Hoosier First Responder

Medal of Honor

The Hoosier First Responder Medal of Honor is awarded to Indiana first responders who are killed or seriously injured in the line of duty and who distinguish themselves conspicuously by gallantry and intrepidity at the risk of the first responder's life above and beyond the call of duty while engaged in an act of public service.

Nominee Information

Nominee's Name*

What type of first responder is the nominee?*

Mark all that apply.

Law enforcement officer

Firefighter

Corrections officer

Public safety telecommunicator

EMT, EMR or paramedic

Emergency management service provider

Employee/volunteer for public safety agency, whose duties include rapid emergency response

County coroner or deputy coroner

Was the nominee killed or seriously injured in the line of duty?*

Select

Please provide details as to how the first responder distinguished himself/herself conspicuously by gallantry and intrepidity at the risk of his/her life above and beyond the call of duty while engaged in an act of public service.*

File Upload (optional)

Upload supporting documentation, such as recommendation or testimonial letters, photos, eyewitness accounts, maps, etc.

Drag and drop files here or

Your Information

Nominating Entity

Must be the entity that employs the first responder or for which the first responder volunteers.

Your Name*

Your Email Address*

Your Phone Number*

Phone

Send me a copy of my responses

Privacy Notice|Report Abuse