EMERGENCY DIAL 911

FIRE ADMINISTRATION

14011 City Center Drive
Chino Hills, CA 91709

NON-EMERGENCY
(909) 902-5260

Chino Valley Fire District

Fred L. Burns Award Nomination

FAITHFULNESS. INTEGRITY. RESPECT. EXCELLENCE.

The nomination period is from midnight of January 1st to midnight of December 31st. Please use this form to nominate an exemplary individual for the Fred L. Burns Service Award. Nominees must be someone who has made a significant contribution to Chino Valley Fire in the area of furthering the District’s Mission Statement and who has made a significant contribution to the Chino Valley. The Mission of the Chino Valley Independent Fire District is to protect the lives and property of the community from the detrimental effects of fires, medical emergencies, and other hazardous conditions.
Step 1 of 3

Nominee's Information

Please provide contact information for the person you are nominating.

Nominator's Information

Please provide your contact information.