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Request a Legislative Citation
A LEGISLATIVE CITATION (CERTIFICATE) CAN BE REQUESTED FOR MANY DIFFERENT REASONS, SUCH AS ATTAINING THE RANK OF EAGLE SCOUT, 100TH BIRTHDAYS, 50TH WEDDING ANNIVERSARIES, BUSINESS ANNIVERSARIES, AND OTHER SIGNIFICANT ACHIEVEMENTS. PLEASE CONTACT MY OFFICE WITH THESE DETAILS AT LEAST 14 DAYS PRIOR TO THE DATE OF THE PRESENTATION. IF MY SCHEDULE ALLOWS IT, I DO MY BEST TO ATTEND THE PRESENTATION IN PERSON.
First and Last Name of Requester
Mailing Address
City, Town or Village
Phone Number
Email
Name(s) as to be Displayed on Citation
Purpose of Request
Background Information on the Person(s)/Business/Achievement, etc.
*
Event Details
Please include date/time, location, parking info if necessary, etc.