Document Request Form Proclamations Form (Old) Document Requested * Letter of Welcome/GreetingLetter of CongratulationCertificate of RecognitionProclamation Document Requested Date of Issuance/Presentation * Is this a request to reissue a proclamation from a previous year(s)? YES NO Delivery of Proclamation: Please Mail Pickup Council Meeting If so, what was the date of the proclamation? Date Needed * Delivery of Document * MailPick UpE-mailPresent at Council/Event Contact Name: * Contact Name: First First Last Last Address: Address: Address: Address: City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Phone: * Email: * Briefly describe the purpose and the message that you would like to convey: Briefly describe how this document will be presented, displayed or distributed: For more information on procedures for ceremonial documents, review here. * Requests must include draft language and/or background information that will be used to prepare the proclamation. Please submit all necessary information with this form Requests must include draft language and/or background information that will be used to prepare the proclamation. Include a short statement (not less than four “WHEREAS” paragraphs) describing the reason for the proclamation (i.e. anniversary, commendable public service, etc.). Submit If you are human, leave this field blank.
