Award Submissions

Awards Applications

Please view the Awards Info Booklet to view the eligibility requirements and the Terms and Conditions of entry into the awards.

The Excellence in Personal Injury and Disability Management Awards event will be held on August 29, 2023. Nominations open 6 March, 2023 and close COB on 17 May, 2023.

NOMINEE

Name *

Email *

Address *

Phone Number *

Organisation *

Joint Nomination

Accepted Nomination *

The nominee agrees to accept nomination in this category.

Nominee Understood? *

I have read, understood and accept the Terms & Conditions.

NOMINATOR

Nominator Self Nomination

If you have self nominated you don't need to complete the rest of this section.

Name

Address

Phone Number

Organisation

FINALIST INFORMATION

In the event that this nomination becomes a finalist, please provide us details on how the finalist information should be listed:

Finalist Name *

Finalist Organisation *

CONTACT

Who is the main contact for this nomination?

Name

Organisation *

Phone *

Email *

NOMINATION DETAILS

Please refer to the information pack for the criteria for each award. There are 3 criteria to respond to for most awards. The Outstanding Contribution Award has 5 criteria. The word limit for each criterion is 250 words.

Award nomination category *

Criterion 1

Criterion 2

Criterion 3

Criterion 4

Criterion 5

SUPPORTING DOCUMENTS

Please upload your supporting documentation which must be in written format and a maximum of 3 pages will be accepted for each nomination. Please refer to the terms and conditions for more details on supporting documents. You are also welcome to submit a 90 second video as supporting evidence for your submission.

Upload 1 PDF *
PDF file only - Max. 5MB

Upload 1 Video
Video file only - Max. 10MB

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