AAHIM Award Nomination Form for Distinguished Member and Outstanding New ProfessionalAAHIM Award Nomination Form for Distinguished Member and Outstanding New Professional I am submitting a nomination for the following award? * Distinguished Member Award Outstanding New Professional AwardAbout the NomineeName * Name Name Name Credentials Company Name Email * Phone Nomination Submitted ByName * Name First First Last LastAddress Address Address Address City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Email * Phone Personal RecommendationsA minimum of two letters of reference must be submitted with the nomination form, including a letter of reference from the individual or group making the nomination. Recommendation Letter #1 * Drop a file here or click to upload Choose File Maximum upload size: 268.44MB Recommendation Letter #2 * Drop a file here or click to upload Choose File Maximum upload size: 268.44MB If you are human, leave this field blank. SubmitΔ
