Letter of Recognition Request Form

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Letter of Recognition Request Form

Letter of Recognition Request Form

Requestor Information
Requestor Name*
First Last
Requestor Phone Number*
Requestor Email Address*
Requestor Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Requesting Entity Information
Select Requesting Entity*
- El Paso County Elected Office
- El Paso County Department
- El Paso County Community Partner (under contractual agreement/receives funding from El Paso County)
- Community Stakeholder
- Individual/Resident
Select El Paso County Elected Office*
Select El Paso County Department*
Name of Organization
Does your organization have an El Paso County Commissioner Liason? If so, please select the primary Commissioner liaison to your organization
- Holly Williams | District 1
- Carrie Geitner | District 2
- Stan VanderWerf | District 3
- Longinos Gonzalez, Jr. | District 4
- Cami Bremer | District 5
- Unsure or N/A
Content of Letter
Name of Person or Organization You Would Like Recognized*

This is who the letter will be addressed to.
Draft of Letter*
Request Consent*
I acknowledge that my submission is subject to changes, edits, and the addition or removal of information at the discretion of County staff or elected officials. I also acknowledge that my request is submitted at least three weeks prior to desired completion date.
Confirmation*
To the best of my knowledge, the content I have provided is accurate and correct.
When is your desired completion date for the Letter of Recognition?*
Month
Day
Year

We require at least three weeks lead time to prepare and approve letters of recognition. Please select a date at least three weeks from today.
Choose Your Preferred Delivery Method*
Choose how you would like to receive your letter of recognition.
We will contact you when the Letter of Recognition is ready for pickup. Our office is located at 200 S Cascade Ave, Suite 100, Colorado Springs, CO 80903.
Describe the date, time, location, and event name at which you request a Commissioner to deliver your Letter of Recognition.
Which El Paso County Commissioner do you prefer to deliver your Letter of Recognition?
- No preference
- Holly Williams | District 1
- Carrie Geitner | District 2
- Stan VanderWerf | District 3
- Longinos Gonzalez, Jr. | District 4
- Cami Bremer | District 5
Event Name*
Event Date*
MM slash DD slash YYYY
Event Time*

: Hours

Minutes

AM/PM
Event Address*
Street Address Address Line 2 City State
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Letter of Recognition Request Form

Letter of Recognition Request Form

Requestor Information

Requesting Entity Information

Content of Letter

We will contact you when the Letter of Recognition is ready for pickup. Our office is located at 200 S Cascade Ave, Suite 100, Colorado Springs, CO 80903.

Describe the date, time, location, and event name at which you request a Commissioner to deliver your Letter of Recognition.

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