Nominee Information

Your nomination form and supporting materials must be postmarked by Friday, January 18, 2002. Please mail one copy of the nomination package to:

Federal Crime Victims Division
Office for Victims of Crime
810 Seventh Street NW.
Washington, DC 20531
Attention: Cathy Sanders

Nominations can also be faxed to OVC at 202–514–6383.

If you are nominating an organization or program, please provide the name, title, address, and phone number of the individual who would accept the award on behalf of that organization or program.


Spacer
 
Nominee Information

________________________________________________________________________________
Individual's Name

________________________________________________________________________________
Title

Choose One: Individual Choose One: Fund Awards
Organization/Program Federal Service Awards

________________________________________________________________________________
Mailing Address

________________________________________________________________________________
City                                                                                 State                     ZIP Code

________________________________________________________________________________
Telephone/Fax Numbers



Spacer
 
Nominator Information

________________________________________________________________________________
Name

________________________________________________________________________________
Position/Title:

________________________________________________________________________________
Mailing Address

________________________________________________________________________________
City                                                                                 State                     ZIP Code

________________________________________________________________________________
Telephone Number

________________________________________________________________________________
Fax Number

________________________________________________________________________________
E-mail Address


Back to Crime Victims Fund and Federal Service Awards

This document was last updated on May 29, 2008