For Vision Zero Award ONLY – *New Deadline* – Sunday, July 10th, 2016.
Please use the form below to submit a nomination today!

Form Directions
*After completing all pages of the nomination form below, please look in your email inbox for a confirmation email.

  • If you see any errors on it, please reply back to that same confirmation email with your correction(s). If you do not receive a confirmation email, please immediately contact Elena Sierra at

Make sure to click the “Next Button” located in the bottom right hand corner of your screen to see the next page of the form.

*Mobile device users, please click here.
*For Awards FAQs, please click here.