Do you know of a professional truck driver who has performed a good deed or heroic act while on the job? Share their information so we can recognize them as a Highway Angel.

*All items below are required:

    I am:

    If other, please specify

    Driver's Name*

    Driver's Company*

    Driver's Phone*

    Driver's Email Address*

    Date of Incident?

    Time of Incident?

    City of Incident?

    State/Province of Incident?

    Please describe the incident


    Supplemental Documents or additional photos? (optional)

    Nominator Details

    Your Name*

    Your Phone*

    Your Email Address*

    Company Details

    Your Company

    Your Title

    Address 1

    Address 2



    ZIP/Postal Code


    Please scan and email additional documentation to Example: Local newspaper article, a statement from the employer on company letterhead, etc.