Skip to main content
Google Tag Manager
For COVID-19 updates and resources, please click
here
Toggle navigation
About
Biography
Staff
Capitol
Committees
District
District Map
Events
SB1 Transportation Projects in the West San Fernando Valley
Internship
News Room
Press Releases
News Articles
Video Gallery
Photo Album
Resources
COVID-19 RESOURCES
Constituent Resources
Certificate of Recognition Requests
Your Contact Information (Person requesting the certificate)
Name
*
Email
*
Address
*
Phone Number
*
Honoree(s) Information
Organization (if applicable)
Event (graduation, award ceremony, eagle scout, etc)
*
Event Date
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Month
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Year
2019
2020
2021
2022
2023
Year
Event Details
*
All Names of Honorees
*
Upload a Word Document Listing All Honorees (if applicable)
Upload
More information
Files must be less than
2 MB
.
Allowed file types:
txt rtf pdf doc docx
.
Please provide sample certificate language:
Are you requesting a staff member to present the certificate(s) in person?
*
Yes
No
Submit