Hero Nomination Form

Hero Award

Please tell us about the Heroic act of saving another person’s life by performing CPR and/or using an AED. This will help to determine the eligibility for a Hero Award, which will be given at the Annual “CPR/AED Awareness” Day.

  • Please put name as you want it to appear on awards.
  • Check "Yes" if there is more than one rescuer involved in Save.
  • Please tell us about the save: ie, date, location, what happened, was an AED used, what role did each Hero play in the save.