Mayoral Letter and Proclamation Request

2. Mayoral Letter and Proclamation Requests

   Mayoral Letter and Proclamation Requests

4. Please fill out the form below to request a letter or proclamation from Mayor Justin S. Flippen. Please provide as much detail as possible and submit your request at least fifteen (15) days in advance.

   Please fill out the form below to request a letter or proclamation from Mayor Justin S. Flippen. Please provide as much detail as possible and submit your request at least fifteen (15) days in advance.

6. You will receive a confirmation email from the City Clerk's Office regarding your request within 1-2 business days. If you do not receive confirmation, please re-submit or contact the City Clerk's Office.

   You will receive a confirmation email from the City Clerk's Office regarding your request within 1-2 business days. If you do not receive confirmation, please re-submit or contact the City Clerk's Office.

8. Requestor Information

   Requestor Information

10. Name:*

12. Best Contact Number:*

13. Email Address:*

15. Request Type

    Request Type

17. Select Target of Request
    -- Select One --EventGroupIndividualOther (describe below)

19. If other, please explain:

21. Recipient's Name:

22. Recipient's Title (if applicable):

23. Organization (if applicable):

25. Delivery Information

27. If requesting a proclamation, are you also requesting that it be read at a City Commission Meeting?

    1. Yes
    2. No

28. What is the due date for the requested letter or proclamation?
    What is the due date for the requested letter or proclamation?

    Must be at least 15 days in advance.

30. If you are requesting the letter or proclamation be mailed to you, please provide the following information:

32. First Name:

33. Last Name:

35. Address1

37. Address2

39. City

40. State

41. Zip

43. Supporting Documentation

    Additional information should include any information that is critical to the personalization of the letter or proclamation. Please include items such as the occasion, relevant facts or pieces of information that would be suitable for inclusion.

    Additional information should include any information that is critical to the personalization of the letter or proclamation. Please include items such as the occasion, relevant facts or pieces of information that would be suitable for inclusion.

45. Additional Information:*

47. You may attached supporting documents and more information in the attachment fields provided below:

    You may attached supporting documents and more information in the attachment fields provided below:

49. Attachment 1:

51. Attachment 2:

53. Attachment 3:

Leave This Blank:


54. 1. Receive an email copy of this form.
55. Email address

    This field is not part of the form submission.

56. Submit Submit and Print

* indicates a required field