An official website of the United States government.

This is not the current EPA website. To navigate to the current EPA website, please go to This website is historical material reflecting the EPA website as it existed on January 19, 2021. This website is no longer updated and links to external websites and some internal pages may not work. More information »

Annual Award Nomination Form for the Environmental Merit Awards

Annual Award Criteria: (Total 65 pts)

  • EPA's mission is to protect human health and the environment. Please explain how your work connects to the 2018-2022 strategic plan and EPA's environmental statutes. (35 pts)
  • Measurable, sustainable and lasting public health or environmental results (15 pts)
  • Ability of the program/activity to be replicated or widely shared (10 pts)
  • Promotion of innovative ideas or approaches (5 pts)

You must identify which priority your application addresses for the Annual Application:

  • Improve Air Quality
  • Provide Clean and Safe Water
  • Revitalize Land & Prevent Contamination
  • Ensure Safety of Chemicals

No longer accepting 2020 EMA applications.

Submission Instructions

  • Save the nomination form below to your personal computer.
  • Fill out and email the completed form to
You may need a PDF reader to view some of the files on this page. See EPA’s About PDF page to learn more.