Proclamation Request Form

2. Requests for proclamations must be submitted at least three weeks prior to the council meeting date requested. Proclamations are processed as requested and must be re-requested annually. Council meetings are held Tuesday afternoons at 3 p.m. Verify the council schedule at www.piercecountywa.gov/councilmeetings

   Requests for proclamations must be submitted at least three weeks prior to the council meeting date requested. Proclamations are processed as requested and must be re-requested annually. Council meetings are held Tuesday afternoons at 3 p.m. Verify the council schedule at www.piercecountywa.gov/councilmeetings

4. Type of proclamation*

   1. Executive
   2. Joint Executive/Council

   Choose the type of proclamation you are requesting.

8. Title of proclamation*

10. Date of Council meeting when you would like your proclamation read? (Meetings are held on Tuesdays, 3 p.m.)*
    Date of Council meeting when you would like your proclamation read? (Meetings are held on Tuesdays, 3 p.m.)

12. Purpose of proclamation *

14. Individual, agency or organization sponsoring the proclamation*

16. Individual/representative attending Council meeting to accept proclamation*

17. Contact email

18. Phone Number

22. Please use the below template as a guide to draft text of what you want the proclamation to communicate. All text is subject to editing by staff.

24. Proclamation Template
    Proclamation Template

    Please use this form to draft your template text. Once you are complete please save and upload it below.

26. Upload completed proclamation template here*

    Upload a draft copy of your one page proclamation

28. Proclamation Examples

30. Dental Health Month Proclamation
    2017-4 Dental Health Month

31. National Travel and Tourism Week
    R2017-37 National Travel and Tourism Week

32. Wreaths Across America
    R2017-139 Wreaths Across America

34. Comments or questions

38. Requested by:

40. First Name*

41. Last Name*

43. Phone*

44. Email Address*

46. Address*

48. City*

49. State*

50. Zip*

52. Date request received
    Date request received

53. Approved

    1. Yes
    2. No

54. Applicant Notified

    1. Yes
    2. No

56. Date Proclaimed
    Date Proclaimed

Leave This Blank:


57. 1. Receive an email copy of this form.
58. Email address

    This field is not part of the form submission.

59. Submit

* indicates a required field