Official Document Request Form Official Document Request Form Document Requested * Letter of Welcome/GreetingLetter of CongratulationCertificate of RecognitionProclamation Document Requested Date of Issuance/Presentation * Is this a request to reissue a document from a previous year? * YES NO If so, what was the date of the document? Date Needed * Delivery of Document * Mail Pick Up E-Mail Present at Council/Event Delivery of Document * MailPick UpE-mailPresent at Council/Event Contact Name: * Contact Name: First First Last Last Organization 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. Submit If you are human, leave this field blank.
