2. Please use this form to request a recognition signed by the Calvert County Board of County Commissioners.

4. Name of person/group being recognized:*
6. Name of organization:

   Please provide the name of the organization the honoree(s) are affiliated. If not applicable, please put N/A.

8. Date to appear on recognition item:*

   If you are making a request for a proclamation for a birthday or condolence, kindly mention the date of birth or death of the individual. For all other types of requests, you may provide the date of the event.

10. Purpose of recognition:*

    Please state the reason why the individual or group is being recognized. In the case of recognizing years of service or retirement, kindly specify the number of years worked or served. If it is for recognizing a birthday or anniversary, please be as detailed as possible.

12. Event details:

    If you wish for a Commissioner to present the recognition at an event, please provide the event date, time, location and the expected time for the Commissioner to arrive for the recognition presentation.

14. How would you like to receive the proclamation/recognition?*

    1. Commissioner present recognition at an event
    2. Commissioners present at their weekly meeting
    3. Pickup recognition
16. Point of contact first name:*
17. Point of contact last name:*
19. Point of contact email:*
21. Point of contact phone number:
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit Submit and Print

* indicates a required field