Officer Memorial Award Nomination Form

I recommend for the Officer Memorial Award from IACLEA (International Association of Campus Law Enforcement Administrators). Nominations to honor officers killed in the line of duty will be accepted February 1, 2007 through January 31, 2008 for incidents that happened during that time period.
Details of Recommendation:

Complete the following:
Nominee Name:
Nominee Title:
Recommended By:
Title:
Department:
Questions: Contact IACLEA, Attn: Louise Backer, 342 North Main Street, West Hartford, CT 06117-2507. Telephone: (860) 586-7517, Ext. 592. Fax: (860) 586-7550; Email: lbacker@iaclea.org All recommendations must be received by January 31, 2008.