8833 Ralston Road Arvada, CO 80002 303.431.6422 [email protected]

Operation Livestock Thief Brand Inspector of the Year Nomination Form If you or your local association wishes to nominate a law officer to receive Operation Livestock Thief (OLT) Brand Inspector of the Year Award, please complete the following form and return it to the CCA Office at 8833 Ralston Road, Arvada, CO 80002 or e-mail [email protected] no later than November 1st. This award will be presented to the winner during the CCA Mid-Winter Conference held in January. ** Nomination and support letters are welcome for all individuals, although award recipients will not be selected based on the volume of letters received. Rather, the OLT Board, Brand and Theft Committee and CCA Board of Directors will consider nominees’ qualifications when granting the award. The nomination form MUST be submitted to the CCA Office. Nomination for Brand Inspector of the Year Name: Nominee’s Contact Information: Phone: Jurisdiction:

Email: Years in this position:

Please give a brief narrative on why this person is deserving of this award. (Consider such things as personal representation of the position, scheduling inspections, timeliness of reports, investigation and handling of theft cases, and any other points you wish to mention.) If necessary, attach additional pages.

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Please list the nominee’s exceptional involvement with the livestock industry:

Individual submitting this form: Name: Address: City/State/Zip Code: Telephone:

Name of local CCA affiliate: