Certificate of Recognition Request | Official Website - Assemblymember Miguel Santiago Representing the 54th California Assembly District

*Please be advised that all certificate requests will be reviewed. Not all certificate requests will be fulfilled. Please allow up to 7 days to complete approved requests.

Your Contact Information (Person requesting the certificate)

First Name

Last Name

Address

City/Town

State/Province

ZIP/Postal Code

Phone Number

Honoree(s) Information

Organization (if applicable)

Event (graduation, award ceremony, eagle scout, etc)

Event Date

Event Details

All Names of Honorees

Upload a Word Document Listing All Honorees (if applicable)

One file only.
200 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Please provide sample certificate language

Are you requesting a staff member to present the certificate(s) in person?

Yes