DBS “Successful 75” Community Partner Recognition Nomination Form


The Division of Blind Services (DBS) is seeking nominations for the "Successful 75 Awards". Please use this form to nominate a partner organization or agency for the “Successful 75” award. Through selfless advocacy on behalf of blind and visually impaired Floridians, nominee(s) should demonstrate a commitment to quality services, collaborative efforts with DBS and other partnering agencies, and high ethical standards of operation.

The nomination form should only take about 10 minutes to complete. Use the 'Next' and 'Prev' buttons at the bottom of each page to navigate. Click 'Submit' at the end to finish the questionnaire and close your browser. Once you have submitted your nomination form, responses cannot be changed.