Skip to main content

Certificate Requests

Certificate Requests

The Assemblymember issues special Certificates of Recognition to honor AD-16 community members and organizations who have gone above and beyond. Occasions include, but are not limited to:

  • Community award ceremonies
  • Eagle Scout Court of Honors
  • Girl Scout Gold Awards
  • Community organizations' anniversaries
  • Apprenticeship graduations
  • Military swearing-in ceremonies
  • Ribbon cuttings

If you are interested in receiving a Certificate of Recognition from the Assemblymember, please fill out the form below and a staff member will follow up as soon as possible.

Please note that certificates will not be provided to individuals or organizations outside of AD-16 and requests from individuals requesting a certificate for themselves will not be fulfilled. Questions? Call the District Office at (925) 244-1600.

Requester Information
Honoree(s) Information
Please include why they are being recognized.
Are you requesting a staff member to present the certificate(s) in person?