Report Form

Persons who have exposed themselves to great danger while saving or attempting to save a human life on Swiss territory can be nominated as rescuers to the Carnegie Rescuers Foundation. The Foundation Board periodically reviews all the acts of rescue brought to its attention and decides upon the bestowal of an award or the granting of financial support.

Rapportformular

Personal data concerning the lifesaver

Last name *

First name *

Date of birth *

Native place

Marital status

Profession

Street *

Town *

Postal code *

E-mail

Information concerning the act of rescue

Date and time of this occurrence *

Site of the rescue act *

Water rescue

Rettung aus einem Gewässer

Name of the river/lake

Breadth of the river/lake

Depth of the river/lake

Water temperature

Distance from the bank

Attire of the rescuer

A brief account of the rescue act

Dangerous rescue act yes/no

yes

no

What kind of danger

Any damage to property

Any other remuneration/reward

Yours personal data

Your first name *

Your last name *

Your e-mail *

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