Nomination deadline EXTENDED to December 30, 2023

Nominee Registration

Please complete the below registration to make a nomination for the UPA Safety & Environmental Awards. To complete your nomination, send supplemental information as explained in “Call for Entries”.

Nominee Category *

Safety Action Award (person or team)
Step Change in Safety Award (company)
Environmental Leadership Award (person, team or company)

Submitted by *

First

Last

Company *

Email *

Phone

Name of Nominee *

First

Last

If nominating a team or company, please add the name of the contact person

Company of Nominee *

Email of Nominee *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Name

Download Awards Fliers (PDF version) HERE

Please send nomination narrative and supportive information to the following:

Email to:
upa@utahpetroleum.org
Mail to:
Utah Petroleum Association
6905 S. 1300 E #288
Cottonwood Heights, UT 84047