Public Safety Officer Medal of Valor Application

The information collected on this application will provide the nomination of public safety officers for the Public Safety Officer Medal of Valor award. This award will recognize public safety officers who demonstrate courage and bravery above and beyond the call of duty without regard for their personal safety. A Medal of Valor Board (hereinafter referred to as the “Board”), as required by the legislation, was appointed by the President, the Majority and Minority Leaders of the U.S. Senate, and the Speaker and the Minority Leader of the U.S. House of Representatives. The Board shall select candidates as recipients of the Medal of Valor from among those applications received by the National Medal of Valor Office. Not more often than once each year, the Board shall present to the Attorney General the name or names of those it recommends as Medal of Valor recipients.

The latest form for Public Safety Officer Medal of Valor Application expires 2022-04-30 and can be found here.