Resolution Request Form

Resolution Request Form

Resolution Request Form

Please complete this form, anticipated turnaround time for receipt of your customized resolution is within five (5) business days from date of request.

(*) Indicates a required field.

First name of person making the request
Last name of person making the request
Email of person making the request
Phone number of person making the request
Resolution State
County Resolution Will be Presented In (Only one can be selected, even for cities in multiple counties)
This is the name of the group of public officials or civic group to whom we are asking to sign the Resolution. For example: Washington Town Board, Adams City Council, Madison County Board of Commissioners, Jefferson Parent Teacher Association

Please list title and name of public official or civic group leader exactly as they appear on the organization’s website:

These are the names and titles of the public officials or civic group leaders that will have signature lines at the end of the Resolution. Enter up to 30 names in order you want to see them listed on the Signature page. First name entered will be listed first; last name entered will be last.