AWARDS: EMPLOYEE

 

 

NOMINATION FORM (cover sheet)

        Outstanding Federal Law Enforcement Employee

 

Name:          _____________________________________________________

 

Agency:       _____________________________________________________

 

Address:      _____________________________________________________

 

Bus. Tel.      _________________________E-Mail______________________

 

Position:      _____________________________________________________

 

 

Years of Government Service:____________

 

________________________________________________________________________________________________________________________________________________

 

Signature of Nominating Official:___________________________________

 

Title of Nominating Official:_______________________________________

 

Nominating Agency:______________________________________________

 

Name of Agency Official to be notified of final award selections:

 

 

Name:                                                          Tel #:

 

E-Mail:            

 

IMPORTANT:  Narrative justification must be no longer than three typed written pages.