Certificate/Citation Requests

My office is pleased to send greetings for acknowledgement of accomplishments and special occasions such as retirement, anniversary, birthday, or scout honors. If you would like to obtain a citation from my office, please use the proper form below. Please note scouting citations are only issued for the rank of Eagle Scout and Gold Award; retirement citations are given for 30 or more years of service; anniversary greetings are issued for 50 or more years of marriage; and birthday citations are for those 80 years of age and above.

Your request should be received at least four weeks in advance of the event date. Every effort will be made to honor every request, but we cannot guarantee a greeting if this deadline is not met.

  • Requestor Information

  • Type of Citation

  • (Please provide years of employment, company/employer, location, special accomplishments/achievements)
  • (Please provide troop number, Eagle Scout Project, troop location, leadership positions, parents names)
  • (Please provide troop number, Gold Award Project, troop location, leadership positions, parents names)
  • (Please provide which birthday, i.e. 75th, etc., birth place, children, grandchildren, great grandchildren, spouse)
  • (Please provide which birthday, i.e. 50th, etc., along with information on children, grandchildren, great grandchildren, where couple resides, site/date of marriage, married by (name of clergy), maiden name)
  • (Please provide name, date of birth, date of death)
  • (Please provide team name, roster, specific accomplishment, coach, school district, school name)
  • (Accomplishments/Notes)

  • Mailing Information (if different from requestor)

If you sign up to receive electronic correspondence, your email address will not be disclosed to any person who is not employed by the Senate of Pennsylvania. All updates sent from this Senate office will consist solely of legislative information.

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