Guy E. "Sandy" Burnette Insurance Fraud Fighter Team Award Nomination Form
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  • $
  • Please ensure you complete and attach the Excel spreadsheet on the previous nomination page for the Team member's information:
    - Name of Team Member
    - Team Member's Email
    - Team Member's Phone number
    - Job title of Team Members
    - Team Member's Company or Organization
  • Guy E. "Sandy" Burnette Insurance Fraud Fighter Team Award

    Nominations are limited to specific cases/investigations concluded in 2020-2021.

    This Award incorporates the joint efforts of multiple agencies and companies involved in the fight against insurance fraud: i.e. NICB, FBI, Law Enforcement, Insurance Investigators, and Analysts.

    The Guy E. “Sandy” Burnette Insurance Fraud Fighter Team Award team members of this category should be the individuals who were the lead person involved in the investigation/case. The Management of the lead individual is not eligible to be listed for the nomination of this Award.

    The following information may be paraphrased or in paragraph format:
  • Instructions:

    - Briefly describe the case involved and the team member's specific involvement in this case;
    - The unique investigational skills the member contributed to the operational team that resulted in the successful conclusion of this investigation/ case;
    - Positive impact(s) the investigation/case had on the fight against insurance fraud and the community. May include, but not limited to, resolution of the fraudulent monetary exposures, other fraudulent activity that has also been stopped, case law or legislative activity generated by this case;
    - Recognition(s) the Guy E. "Sandy" Burnette Insurance Fraud Fighter Team received from their peers, associates, and community.
  • Max 2,000 words