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Bloom Awards Nomination Form

History of the Bloom Awards & Gala

The Bloom Awards were created in 2011 by BLOOM as a platform on which to recognize the best-of-the-best performance of professionals working within the workers’ compensation industry through a nomination process resulting in a formal and beautiful Awards Gala. Over the past decade, through a formal nomination and selection process, awards have been given to professionals for their outstanding commitment, care, and service.

Mission

The Bloom Awards recognize industry leaders who exemplify excellence and truly embody a commitment to leadership, mentoring and professional practice.

Please follow the simple instructions listed below:

  • Provide up-to-date contact information of the nominee for the category you chose. 

  • Please add ALL nominee/nominator information in order to contact you and the nominee. 

  • Please read ALL category sections carefully 

The following categories are ONLY for nominating Service Providers

  • Rehabilitation Specialty Provider Award

  • Superior Urgent Care and Occupational Medicine Award

  • Service Provider Of The Year Award

The following category is ONLY for nominating podcasts

  • Podcast Of The Year Award

The following category is ONLY for nominating TPAs

  • TPA Of The Year Award

Nominee Information:

If you're submitting a nomination for a f you're submitting a nomination for a company (service provider), TPA, or podcast rather than an individual, please enter "N/A" in both the first and last name boxes.

Award Category

Nominator Information:

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