2. Certificate Request

4. Please complete this request a minimum of 3 business days prior to the date this certificate is needed by. 

6. Please reference the Public Recognition Policy by clicking on the link below.

   Public Recognition Policy

10. Select certificate request type from the drop-down menu:*
    -- Select One --Certificate of AchievementCertificate of AppreciationCertificate of CommendationCertificate of CongratulationsCertificate for Grand Opening/ Ribbon CuttingCertificate of RecognitionCertificate of RemembranceCertificate of Welcome
12. What is the reason for this request and why do you believe this certificate is merited? *
16. Requestor Contact Information
18. Requestor First and Last Name*
20. Requestor Address*
22. City*
23. State*
24. Zip Code*
26. Requestor Phone Number*
27. Requestor Email Address*
31. How would you like this certificate to be presented?*

    1. City Council Meeting
    2. Event
    3. Mailed
    4. Pick-Up
33. Event date? (If Applicable)
    Event date? (If Applicable)
34. Event Time? (If Applicable)
35. Event location? (If Applicable)
37. Event Flyer/ Invitation (If Applicable)
39. Please select the City Council meeting date(s) of your preference (If Applicable)

    Please note that the Council meets every second and fourth Tuesday of each month at 6:00pm. 

41. Mailing Address (If Applicable)
43. City
44. State
45. Zip Code
49. Individual(s)/ Organization to be recognized:*
51. Please summarize the impact of the individual(s)/organization within the City of Temecula.*
53. Supporting Documentation (If Applicable)
55. Thank you for your request! After submitting this application, you will be contacted shortly.
Leave This Blank:


57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit

* indicates a required field