Submit a Nomination

Welcome! Thank you for your interest in submitting a nomination for
the 2024 Samuel J. Heyman Service to America Medals.

If you had issues using the online form, we will still accept your submission. Please contact Maggie at

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. 

If you have any questions, please contact Maggie Moore at or (202) 775-6883.