Certificate of Recognition Request

All requests for certificates must be submitted using the form below. Please submit this form at least 10 business days before needing the certificate. If you are requesting more than 10 certificates, please allow 15 business days for processing. Please include a mailing address for the certificates, in case our office is unable to attend the event presentation.

For questions, please contact the district office at (858-675-0760) or email Ross Pike.

Indicates required field
YOUR INFORMATION
HONOREE INFORMATION
Type of recognition/ description of honor ( Example: "Teacher of the year", "Student of the Month", "Chamber of Commerce ribbon cutting", "Veteran of the Year").
Describe the activity done by this honoree.
If you are requesting more than one certificate, please upload a Microsoft Excel spreadsheet (xlsx). For less than 10 certificates, please submit this form 5 business days prior to the date needed. For more than 10 certificates, please submit 10 business days prior. Please enter the first and last name(s) of the awardee(s).
One file only.
200 MB limit.
Allowed types: xls, xlsx.
EVENT INFORMATION
Contact Darshana EDD Assistance Subscribe to Newsletters Submit a Scheduling Request Request a Letter of Support Request a Certificate of Request

Contact

Capitol Office
State Capitol
P.O. Box 942849
Sacramento, CA 94249-0076
Phone: (916) 319-2076
Fax: (916) 319-2176
District Office
12396 World Trade Drive
Suite 118
San Diego, CA 92128
Phone: (858) 675-0760
Fax: (858) 675-0688