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.
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