Nominations For Bravery Awards

Nominate a Brave Person for an Award or Notify Us of a Brave Incident

If your actions result in awards being conferred on brave individuals you will have done a great service to them and the people of New South Wales.

Eligibility

NSW residents, visitors, civilians, children, uniformed members of the Defence Forces or uniformed members or volunteers of the NSW State emergency services are all eligible for awards. NSW residents who carry out brave acts outside the state are also eligible.

To be considered for awards people must have risked their own lives to save others in dangerous situations. For example, a person who entered heavy surf to rescue a swimmer caught in a rip would be eligible but a bystander who did not enter the surf but administered first aid on the beach would not.

The danger to a rescuer and victim need not be obvious. Rescuing someone in difficulties in a bay where a shark recently attacked a victim and may still be present is an example of ‘apprehended danger’. Another example would be a rescue from a building fire where gas cylinders might explode at any moment.

It does not matter whether a rescue is successful or not, attempted rescues are equally meritorious.

The Awards Process

Once all the required information for a nomination has been received it is presented at a Council meeting for determination of an award. Each case is discussed at length and the representatives of the NSW emergency rescue services are consulted for their expert opinions.

Queries

If you are unsure about any aspect of a notification or nomination get in contact.

Nomination Form

NOTIFICATION OF AN ACT OF BRAVERY OR NOMINATION FOR A BRAVERY AWARD

BEFORE YOU BEGIN

Thank you for taking the time to recommend someone for a Royal Humane Society of New South Wales bravery award.

You can use this online form to notify the Society that someone has risked their life to save others and leave the follow-up to us.

Or you can nominate that person for an award if you can supply the necessary information and vouch for its accuracy in a statutory declaration.
(A statutory declaration is a statement of facts you declare to be true and accurate. It can be used as evidence).

NOTIFICATIONS

If you don’t have all the details of an incident, send us a notification telling us as much as you can. We can follow up with your contacts and the State emergency rescue services to obtain further information. We will get back to you if a full nomination is warranted.

NOMINATIONS

If you witnessed an incident, can describe what happened, have details of the people involved and can sign a statutory declaration to that effect then please submit a nomination. We will check the details with the official reports of the State emergency services who may have attended and submit the nomination to our Council for the determination of an award.

COMPLETING THE FORM

This form can be completed and submitted . If you wish to keep a copy please print it before you press ‘send.’

Only one form is required for all nominees involved in an incident. You can also get the PDF version here and send in via the post if you’d prefer.

NOTIFICATION or NOMINATION?

Please see difference explained above this form

I am notifying the Society that a person, or persons, may be eligible for a bravery award.

I am nominating a person, or persons, for a bravery award. I will submit a statutory declaration to certify the information I provide.

PERSON(S) CARRYING OUT A RESCUE:

Their name and address

Their age and occupation (if known):

Their telephone numbers (if known):

Country

(###)

###

####

Landline or other:

Have they been nominated for any other awards of which you are aware?

Any other relevant information about them?

PERSON(S) RESCUED OR ATTEMPTED TO BE RESCUED:

Their name and address

Their age (if known):

Their telephone number (if known):

Country

(###)

###

####

Landline or other:

Any other relevant information about them?

WITNESS:

For each person, please add their full name and address

Age (if known):

Their telephone number (if known):

Country

(###)

###

####

Landline or other:

Any other relevant information about them?

DETAILS OF THE INCIDENT:

Date, time and place of incident

If relevant, weather and other prevailing conditions:

Were you present when the incident occurred?

If not please indicate the source of your information

Describe the facts of the rescue in chronological order and what action each rescuer took:

What were the risks to the lives of the rescuer(s) and victim(s)?

Details of any emergency services in attendance (e.g. police, ambulance, fire):

Result of the rescue attempt:

YOUR DETAILS:

You, the person sending in the form.

First Name

Last Name

Your Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Occupation:

Relationship to any persons nominated:

Mobile number:

Country

(###)

###

####

Daytime telephone number:

Email:

Further questions to assist the Royal Humane Society of NSW

(These questions are not mandatory. However, your insight could help us promote the Royal Humane Society of NSW bravery awards and ensure that brave acts of courageous individuals are celebrated and acknowledged.) • Have you previously nominated a person for a Royal Humane Society of NSW bravery award? • How did you hear about the Royal Humane Society of NSW bravery awards? • Was there a specific prompt to nominating on this occasion?

Message

Anything else you want to add?

I wish to be contacted by:

Phone

Date

YYYY

IMPORTANT INFORMATION BEFORE YOU SEND

KEEP A COPY: If you want to keep a copy of this form, please screenshot or print it before you click the send button above. STATUTORY DECLARATION: If you’re submitting a nomination download, print and complete the Statutory Declaration form and mail it to us at: The Royal Humane Society of New South Wales PO Box A830 Sydney South NSW 1235 Click here to download the Statutory Declaration form. This is a secure connection. PERSONAL INFORMATION The privacy and security of your personal information and personal information you have provided to us about the person(s) nominated for a bravery award, witnesses, and any person(s) rescued is important to us and is protected by law. Purpose Your details: The Society collects and uses the contact information you provide to acknowledge receipt of the nomination, get in touch with you if we need more information or clarification, and let you know if the nomination results in an award. Details of the nominee(s), witnesses, and any person(s) rescued: The Society collects and uses this information to facilitate its investigation and consideration of the nomination, including to confirm the identity of the nominee(s), verify the information provided, and enable further investigation if required. The Society may also provide your details and details of the nominee(s), witnesses, and any person(s) rescued to third parties such as the State emergency services to facilitate its investigation and consideration of the nomination. If a nominee is recommended for a bravery award, the Society use the details provided to contact them. We do this to ask if they are willing to accept the award, and whether they consent to details of the award being made public. We do not publicise personal details of any witnesses or person(s) rescued other than with the consent of such person(s). Providing the requested information is voluntary. However, if you choose not to provide the requested information it may not be possible for the Society to investigate and consider the nomination or confer a bravery award. The Society will not use or disclose the personal information provided by you other than for the purposes described above, unless you have, or the person to whom the personal information relates has, provided consent for us to do this, or we are authorised or required to do so by law. The Society’s Privacy Policy explains how the Society handles and protects personal information provided by you. Our Privacy Policy also explains how you or another person mentioned in the nomination can request access to or correct the personal information we hold, and who to contact if you have a privacy enquiry or complaint.

I have read and understood the important information before you send

Nominations For Bravery Awards

Nominate a Brave Person for an Award or Notify Us of a Brave Incident

If your actions result in awards being conferred on brave individuals you will have done a great service to them and the people of New South Wales.

Eligibility

The Awards Process

Queries

Nomination Form

NOTIFICATION OF AN ACT OF BRAVERY OR NOMINATION FOR A BRAVERY AWARD

The Royal Humane Society of NSW

FOUNDED IN 1877