NIBA Volunteer and Employee Recognition - Online Form

Please complete our online form to submit names of those individuals within your company who have passed in the last three years that you would like to have recognized. Contact staff@niba.org with any questions or concerns.

I. Information of the Deceased

First Name *

Last Name *

Company *

Position *

Years of Service *

Upload Photo (optional)

Bio (optional)

Link to obituary (if available)

II. Submitter Information

First Name *

Last Name *

Company *

Phone *

Email Address *

Comments/Additional Information

Report abuse