Retirement Citation Request

Celebrate a distinguished career with this retirement citation. This form honors a lifetime of dedication and service, highlighting the employee’s significant impact on our community. Please provide details of their career milestones, achievements, and contributions leading up to their retirement.

Retiree's Information

First Name*

Last Name*

Address*

City*

State*

Zip*

Employer*

Years of Employment*

Career Accomplishments and Achievements

Retirement Date*

Contact Information

First Name*

Last Name*

Phone*

Email*

Address*

City*

State*

Zip*

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Disclaimer: Submission of this citation request does not confirm that the member will issue an official citation. All requests are subject to review and the availability of supporting details.

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