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Request a Proclamation

City of Rockford proclamations are issued by the Mayor in recognition of or to create awareness of an event, milestone, or achievement. Proclamations may be issued for a day, week, or month. Proclamations are not legally binding nor do they constitute an endorsement by the Mayor. All proclamations must recognize individuals, groups, or events within the City of Rockford.

Requests for proclamations must be submitted at least three weeks prior to the date needed. The Mayor’s Office reserves the right to modify or deny any proclamation request.

Request a Proclamation

Proclamation Subject*
Designated Proclamation Day(s) / Week / Month*
Designated Proclamation Day(s) / Week / Month Start Date
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Designated Proclamation Day(s) / Week / Month End Date
Individual / Group / Organization Being Recognized / Honored*
Please provide 4 to 5 sentences of proposed language you would like included in the proclamation. Please note the suggested text is subject to modification.*
Proclamation Needed By:*
Proclamation Needed By:
Name of Individual Making the Request
First Name*
Last Name*
Phone*
Email Address*
Please choose one requested delivery method.*
1. Presented at City Council Meeting
2. Presented at Event
3. Mailed
4. Emailed
5. Picked up

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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