Information to Nominees/Applicants

The information requested in this Application Form is to assess the eligibility of the nominee for the award of the National Police Service Medal.

A general overview is written below. For full details, please read the regulations on the Governor General’s website (http://www.gg.gov.au) using the pull down tab Australian Honours and Awards and select National Police Service Medal (NPSM):

1. 1. Person must have been serving on or after 14 February 1975
   2. The Commissioner (or his delegate) of the Australian police force where the nominee last worked must review the application, and if satisfied with the ethical and diligent service of the person, may make a recommendation for the NPSM to the Governor General.
   3. The nominee must have served for a period of at least 15 years or a total of 15 years as a sworn police officer (defined by all Commissioners of Police as) A person holding the office of Constable of Police or, a member who is employed as a Police Officer of an Australian Police Force/Service, as determined under the relevant Act of Parliament.
      This condition may be met if the person died whilst a serving member of an Australian Police Force or could not continue to serve as a result of injury or disability sustained in or as result of service in an Australian Police Force. This medal is not a long service medal entitlement.

For all applications, a mandatory National Police Check or similar jurisdictional check will be undertaken to check applicants ethical and diligent service, and criminal history. Failure to pass this check will result in the nomination being rejected.

Please Note

• In completing the NPSM Application Form, you will be asked to provide information about the nominee.
• Please print out the application form, complete all required sections, sign and return to the relevant jurisdiction as listed below.
• Only one NPSM will be awarded to recognise a period of eligible police service.
• Next-of-kin of the nominee may apply where the proposed nominee is deceased, ill or infirm. The application must be accompanied by a statutory declaration explaining why the nominee is unable to apply on his or her own behalf.
• In the case of a deceased nominee, the NPSM will belong to that person’s estate; therefore, the statutory declaration must outline the relationship of the applicant to the nominee (e.g. spouse, son, daughter, father, mother, brother or sister). Supporting documents (certified copies) confirming power of attorney, executor of will, service records and/or certificates will need to be included with the application.

Help Desk Information
If you need more information, please contact your relevant jurisdiction:

Australian Federal Police Recognition and Awards PO Box 401 CANBERRA ACT 2601 Recognition-Awards@afp.gov.au	Honours and Awards Unit Victoria Police Centre 637 Flinders Street DOCKLANDS VIC 3008 HonoursAwards-People-Mgr@police.vic.gov.au
NSW Police Force Protocol & Awards Unit Office of the Commissioner Locked Bag 5102 PARRAMATTA NSW 2124 retronpsm@police.nsw.gov.au	Tasmania Police Medals & Awards Human Resources Temple House 55 Argyle St HOBART TASMANIA 7000 honours&awards@police.tas.gov.au
NT Police, Fire and Emergency Services Medals and Investitures Co-ordinator PO Box 39764 WINNELLIE NT 0821 Pfes.medalsandawards@pfes.nt.gov.au	South Australia Police Awards, Marketing & Event Section GPO Box 1539 ADELAIDE SA 5001
Western Australia Police Honours and Awards Unit 81 Lakeside Drive JOONDALUP WA 6027 Academy-HonoursandAwardsSMAIL@police.wa.gov.au	Queensland Police Service Manager, Honours and Awards Unit Integrity and Performance Group Ethical Standards Command GPO Box 1440 BRISBANE QLD 4001 QPSHonoursandAwards@police.qld.gov.au

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