County Executive's Office

Proclamation Request Form

First Name

Last Name

Phone Number

Email Address

Requester's Street Number and Name

Apartment, suite, etc. (if applicable)

City

State

Zip Code

Date by which you need the citation

How would you like the citation delivered?

If you selected in-person delivery, please describe the date, time, location, and any other information about when the citation should be delivered.

Which type of citation are you requesting?