Skip to form
Virginia Beach EMS
vbemscom@vbgov.com
4160 Virginia Beach Blvd. Virginia Beach, VA 23452
(757) 385 – 1999
EMS Service Award Nomination
Name
First Name
Last Name
Email
Your Station
Nominee Name(s)
Nominee Station
Award
Choose One
EMS Achievement Medal
Medal of Merit
Medal of Honor
Medal of Valor
Act of Service
Support Member of the Year
Provider of the Year-ALS
Provider of the Year-BLS
Unit Commendation
Supporting Details of Nomination
disregard this
