Blue Shield Nomination Form
Please enter the name of the employee you are nominating for the Blue Shield Award.
What is their Job Title?
Who is their Manager?
What location does this person work out of?
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What category is this achievement based on?
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Please describe in detail why you are nominating this employee. Be specific and provide as much information as possible for consideration.
What is the dollar amount of the award you are requesting for this employee?
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