Condolence Resolution Request

My office accepts citation requests at all times, but please allow three to four weeks prior to an event for a request to be processed. If a citation is needed in two weeks or less, please give my office a call to ensure appropriate arrangements are made. While we do try our best, we cannot guarantee a citation will be available by a certain date. For any questions, please contact my office.

First Name of Person to be Cited *

Last Name *

Date of Birth *

Date of Death *

Street Address *

City *

State *

Zip *

Community Service or Other Notable Achievements

Obituary Information *


How would you like the Representative to present this citation? *

Preferred Date *

Preferred Time *

Preferred Location *


Contact Information

Additional Notes