Request a Letter or Proclamation

If you would like to request a letter, proclamation, or presidential greeting for someone living in the Fifth Congressional District please complete and submit the form below.

1 of 3

What is the honoree's information?

This will help us prepare their certificate.

Title

First Name

Last Name

Honoree Address 1

Honoree Address 2(optional)

City

State

Zip

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Just a few more details.

Exact Date of Occasion(optional)

Recognition Type

Additional Comments(optional)

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How can we best contact you?

This will help us reach out with a reply.

Title

First Name

Last Name

Mailing Address 1

Mailing Address 2(optional)

City

State

Zip

Phone

Phone Type(optional)

Constituents who are hard of hearing or use a video phone have the option to choose TDD or VP based on the type of device they are using. This allows our office to respond to them accordingly. The default option 'Voice' is a standard audible telephone.

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Other than what is requested above, please do not submit any personally identifiable information.

We’ve received your request.

You’ll get an answer very soon. In the meantime, follow me on social media for updates on my work for you and the people of our district.