Request a Certificate, Letter of Recognition, or Resolution from the Secretary of State

On behalf of the Office of California Secretary of State Shirley N. Weber, Ph.D., we are honored to recognize California residents who contribute to their communities. Please complete the form below and submit it at least 30 business days before the recognition is needed. All requests will be reviewed and processed by the Secretary of State’s Recognition Unit. Please note that submission does not guarantee fulfillment.

If you have any questions, please contact us at SOSRecognition@sos.ca.gov

Recognition Request Details

Type of request *

Delivery Information

Recipient name for mailing (The name of the person who should receive the mailed recognition) *

Email address *

Phone number *

Mailing address (The address where the certificate, letter, or resolution should be sent.)

What date would you like this recognition completed? *

Honoree Information

Honorific or title (if applicable)

Is this request recognizing an Eagle Scout or Gold Award recipient?

Yes

Troop number

Date of completion or graduation

Name to appear on certificate *

Please describe why the recipient should be honored by the California Secretary of State's Office *

Will this recognition be displayed at an event? If so, please describe the event

Date of the event

Organization Information

Name of organization

Mission of organization

Who does the organization serve?

Honoree Biography

Brief biography of the recipient *

Notable accolades of the recipient

Requestor Information

Requestor's full name *

Requestor's email address *

Confirm email address: *

Requestor's phone number *