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Proclamation Request Form

El Paso County / Proclamation Request Form

El Paso County Proclamation Request Form

You MUST submit this request 8 weeks ahead of when you would like to receive your proclamation.

Requester Information
Requestor Name*
First Last
Requestor Phone Number*
Requestor Email Address*
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
Select El Paso County Elected Office*
Select El Paso County Department*
Requesting Organization*
Address of Requesting Organization*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Requestor's Relationship to Requesting Organization*

i.e. Employee, Volunteer, Board Member, etc.
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
Proclamation Information
Purpose of Proclamation*
Recognition Format
Proclamation Submission Understanding*
I understand that I must submit this request 8 weeks ahead of my preferred proclamation recognition date.
Proclamation Request Consent*
I understand that my selection is subject to approval and calendar availability. I also acknowledge that the proclamation content I submit is subject to change, edits, removal, or additions at the discretion of County staff or County Commissioners so that anything delivered complies with El Paso County's values and policies.
Consent Calendar Understanding*
I understand that I will be required to pickup the proclamation after the Board of Commissioners approves the proclamation. El Paso County will contact me when the proclamation is available and ready.
Board of Commissioners Expectations*
I understand that if the submitted proclamation is selected to be read and presented at a Board of Commissioners meeting, I will have three (3) representatives at the meeting prepared to speak on behalf of the organization.
First Choice | Proclamation Recognition Date*
MM slash DD slash YYYY

The BoCC ONLY meets on Tuesdays. ONLY select Tuesday dates.
Second Choice | Proclamation Recognition Date*
MM slash DD slash YYYY

The BoCC ONLY meets on Tuesdays. ONLY select Tuesday dates.
Third Choice | Proclamation Recognition Date*
MM slash DD slash YYYY

The BoCC ONLY meets on Tuesdays. ONLY select Tuesday dates.
Event Name*

Describe the date, time, location, and event name at which you request a Commissioner to be read and present the requested proclamation.
Event Date*
MM slash DD slash YYYY
Event Time*

: Hours

Minutes

AM/PM
Event Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Proclamation Content
Proclamation Title*
Proclamation Content*
Confirmation
To the best of my knowledge, the content I have provided is accurate and correct.