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.

Request Citation

First & 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

I am not a robot *