Please fill out this form so that the rescuer can be recognized and the AHA can keep a record of survivor stories and CPR use.  Allow 7 - 10 working days for turnaround. In some cases, awards can be fulfilled more quickly. Please contact with questions or rush requests.

Many times we receive requests to use survivor stories for AHA marketing purposes, as well as from the media, who may need a story involving someone of a certain gender, race, or age range.

AHA uses this information for future/potential marketing purposes. You will be contacted if we use your story.

We are happy to honor anyone who has assisted in any part of our chain of survival, regardless of training or outcome.