Honoring a first responder who has died by suicide

We believe 1 IS TOO MANY and that every life matters. We want to provide families and friends a place where they can honor/commemorate/remember their loved one.

 

FILL OUT FORM BELOW and SUBMIT. We ask for first and last name of the first responder, to be able to verify the individual and will ONLY add the badge number and 2-digit state code to the badge featured below as a small way to say thank you for your service. Once we receive your form, a badge will be designed and added to our badge gallery.

                         

                                            NO PERSONALLY IDENTIFYING INFORMATION will ever be shared.

                           

                                             ***Only the BADGE NUMBER and 2-digit state code will be made public***

Honorary Badge Submission Form