State Fire Marshal -- Special Recognitions

The Indiana State Fire Marshal recognizes Hoosiers for exceptional service in different categories. Complete this form to nominate a public safety worker for one of the awards given by the State Fire Marshal.

Nominee's Name

Nominee's Job Title or Position

Nominee's Primary Fire Department or Agency

Nominee's County

Select all that apply.

Nominee's Years of Service (if known)

Nominee's PSID Number (if known)

The PSID number is the public safety worker's unique identifying number.

Your Title

Example: Fire Chief, Fire Marshal

Your Relationship to Nominee

Your Name

Your Email Address

Your Phone Number

Type of Recognition Requested

Certificate of Appreciation

Heroic Life Saving Award

Meritorious Service Award

Valor Service Award

Description of Nomination

Use this field to describe why you are nominating the recipient for an award from the State Fire Marshal. If the description is lengthy, please use the following File Upload section to attach a file containing the full description and any supporting documentation.

File Upload (optional)

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

Drop your files here

Recognition Requested by the Following Date (optional)

Please provide at least 2 weeks' notice.

mm/dd/yyyy

Recognition Requested to Be Presented In Person

Send me a copy of my responses

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