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Request a proclamation or certificate
Request a proclamation or certificate
Contact person name
(Required)
First
Last
This is the name of the person who is requesting the certificate or proclamation.
Contact person phone number
(Required)
Contact person email address
(Required)
Enter Email
Confirm Email
Contact person mailing address
(Required)
Street Address
Address Line 2
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ZIP Code
In case we need to contact you by mail, please provide your mailing address.
What organization are you a part of?
If you are making this request on behalf of an organization or business, please provide the full name of your organization/business.
Are you requesting a certificate of recognition or a proclamation?
(Required)
Certificate of recognition
Proclamation
A certificate of recognition is a one-page certificate that recognizes an individual, group, or organization for their accomplishments and for contributing to improving Santa Ana. A proclamation is a long form that proclaims certain days, weeks, or months, such as Dr. Martin Luther King, Jr. Day or National Nurses Week.
When would you like to receive the certificate or proclamation?
(Required)
Month
Day
Year
Indicate the date you would like to pick up, have mailed, or be presented with a certificate or proclamation.
Is there a specific councilmember that you would like to request the certificate or proclamation from?
(Required)
Select
I want a certificate from the entire City Council
Mayor Amezcua
Mayor Pro Tem Phan
Councilmember Vazquez
Councilmember Lopez
Councilmember Bacerra
Councilmember Hernandez
Councilmember Penaloza
Our certificates and proclamation are either prepared for or presented by a single councilmember or by the entire City Council.
Provide the name(s) of the individual(s) and/or organization that you would like the certificate or proclamation to be prepared for.
(Required)
In 100 words or less, summarize why the individual(s) and/or organization should receive a certificate or proclamation from the City of Santa Ana.
(Required)
If you are requesting a proclamation, please provide sample text for the proclamation.
If you have a sample or template for your certificate or proclamation, upload it.
Max. file size: 50 MB.
How would you like to receive your certificate or proclamation?
(Required)
Select
I'd like to receive it in the mail
I want to pick it up at City Hall
I want you to present it to me at my community event
I want you to present it to me at a City Council meeting
A certificate or proclamation can be mailed to you, you can pick it up at City Hall, or request to have it presented to you in person at a community event that you are hosting or at a City Council meeting.
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