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8,041,422 New Yorkers have joined the NYS Donate Life Registry

DMV “Harmony Hero” Peer Recognition Award Submission Form

Nomination Process:

  • Fellow employees, supervisors, or anyone within the DMV office can make nominations.
  • Nominate a colleague who excels in supporting and promoting organ and tissue donation, whether by initiating donation conversations, creatively embodying the Donate Life Month theme in their personal appearance or workspace decor, or actively promoting awareness.
  • Submit nominations between April 1, 2025 and May 31, 2025. Include photos and/or other supporting materials that showcase their dedication.

Nominator Information

Your Name(Required)
ex: supervisor, colleague, etc.

County Clerk/District Office Manager Information

Are you the County Clerk (for County-operated DMVs)/District Office Manager (for State-operated DMVs)(Required)

Nominee Information

Nominee's Name(Required)
Does the Nominee have a personal connection to the Donate Life mission?(Required)

Nomination Statement

Explain why you believe this individual deserves recognition for their contributions to organ and tissue donation awareness and registration. Include specific examples of their efforts, initiatives, and impact within the DMV office or community.
1,500 character limit
0 of 1500 max characters

Supporting Materials

Please attach a photo of the nominee and any other relevant photos, documents, or additional materials that showcase the nominee’s dedication to promoting organ and tissue donation awareness. This could include photos of their workspace decor, evidence of donation-related initiatives, etc.
Upload at least one picture of nominee, as well as any additional supporting materials. Up to five files can be attached.
Drop files here or
Max. file size: 8 MB, Max. files: 5.