Submit a Nomination

Welcome! Thank you for your interest in submitting a nomination for the Samuel J. Heyman Service to America Medals.

Nominations are currently closed.

If you had issues using the online form, we will still accept your submission. Please contact sammies@dev.ourpublicservice.org.

Before you start, please review the eligibility details, our tips for a strong nomination and our FAQs. 

To save an incomplete nomination and return to it later, click the “Save my progress and resume later” checkbox near the top of each page. 

If you prefer, you can download the Word version of the form to work on. We strongly prefer online submissions but if that is not possible, you can email them to us once it’s completed.