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Request a Special Certificate
This form has been modified since it was saved. Please review all fields before submitting.
If you would like to request the Mayor and Town Council to issue a special certificate of commendation, recognition or achievement, please submit a formal request here.
Recipient's First and Last Name
Recipient's Mailing Address
Recipient's Email Address
Is recipient a Parker resident, or have they made a contribution to benefit the Parker community?
2. Has recipient been informed of the request for special certificate of commendation, recognition or achievement?
Please provide a brief description of the recipient, contribution or accomplishment.
Event Date (if applicable)
Desired Date for Certificate
Requestor's Email Address
Requestor's Phone Number
Delivery Options for Certificate
Pick up at Town Hall
Schedule an Official Special Presentation at a Town Council Meeting
If you have a document, photo or file relevant to this request, please attach it here.
Please Note: Requests are subject to final approval by the Town Administrator. Although we would like to honor all requests, there may be an instance when requests are not approved or are modified.
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