Pubic Service Award

 
 

 

Public Service Award

NOMINATION FORM

 

** Nomination deadline:  August 30, 2007

 

Criteria

OR-IASIU's Public Service Award recognizes Law Enforcement, Prosecutors, Public Agencies and similar agencies. To be eligible, an investigation, prosecution or other civil or criminal sanction or enforcement action must have occurred during the year of the award. The nominee must be a member in good standing of their department during the investigation time period.

 

  • Positive effect the investigation or other sanction/enforcement action had on the insurance industry

  • Positive effect the investigation or other sanction/enforcement action had on the outside community

  • Uniqueness and exceptional qualities of the investigation or other sanction/enforcement action

Entry Form

 

Nominee’s Name:
Nominee's Agency:
Position within Agency:
Nominee’s immediate supervisor:
Supervisor’s telephone:
Supervisor’s e-mail:

Nominator’s Name:
Nominator’s e-mail:
   
Type of investigation(s): (e.g. property, auto, medical, injury, workers’ compensation, staged or caused accident ring) 

Date investigation(s) began:
Date investigation(s) concluded:
   

Describe nominee’s role within investigation:

·         Position within investigation (lead investigator/coordinator/analyst)

·         Role in developing breakthrough lead(s)

·         Anything else significant regarding nominee’s role

   

Impact made on the nominee’s department

·         Recognition within Department

·         Did information developed in the investigation assist other law enforcement? If so, how.

·         Any other significant impact on Department

   

Positive affect the investigation had on the insurance industry.

·         Number of companies effected by entity/individual investigated

   

Positive affect the investigation had on the outside community.

·         Identification and arrest of fraud perpetrator(s)

·         Criminal prosecution.

   

Uniqueness and exceptional qualities of the investigation

·         Innovative investigative methods/ effective investigative techniques applied

   

Note to Nominator: Please feel free to submit any supporting documentation i.e. newspaper accounts, videos or anything else that will contribute to documenting the impact of the investigation.