Please complete the form below to nominate the person or people you believe deserve recognition for their work during the floods of January 2014


Nominated person's name:


Their contact details if known:


Are they a member of the public or do they work for an organisation?:


Reason for nomination:

Your Name:


Your phone number:


Your Email Address:


Your Post Code:


Please untick the box if you do not wish us to send any additional information.

By completing this nomination form, you agree to co-operate with Newsquest Oxfordshire in promoting your nomination