Letter of Recognition

Traditionally, letters of recognition are available for the following occasions:

Eagle Scout
Girl Scout Gold Award
Anniversary
Birthday
Retirements

In addition, my office can request a letter of recognition from the White House for individuals celebrating at least their 80th birthday or couples celebrating their 50th
(or higher) wedding anniversary. Please allow eight to ten weeks for these requests.

* indicates required information.

Your Information

Which are you?*

Prefix:*

First name:*

Last name:*

Suffix:

Permanent address:*

City:*

State:*

Zip code:*

+4 Extension:

Email:*

Phone number:*

Honoree Information

If the letter is for someone else, please provide: who and where should the letter be addressed to?

Information About the Event

Name of organization:

Description of event to be celebrated:

Date of event:

Date you need letter by:

Any special requests or information?

Would you like the letter mailed to you? Yes No

Regrettably, I am unable to accept attachments due to the risk of viruses.

HIDDEN_WEBSITE_VARIABLES

How to use: Insert <span class="EXACT_VALUE_LABEL_AS_ENTERED_BELOW"> </span> where you'd like the value to be populated.

Non-breaking space within span tags -   - is required for WYSIWYG.

Label (no spaces or special characters)	Value	Comments (optional)
repName	John Smith
helpWithFedAgencyAddress	Haverhill District Office 1234 S. Courthouse Haverhill, CA 35602
district	21st District of California
academyUSCitizenDate	July 1, 2012
academyAgeDate	July 1, 2012
academyApplicationDueDate	October 20, 2012
repStateABBR	AZ
repDistrict	1
repState	Arizona
repDistrictText	1st
repPhoto
SponsoredBills	Sponsored Bills
CoSponsoredBills	Co-Sponsored Bills

Office Locations

Office Name	Location	Image	Map URL
Washington DC	2229 Rayburn House Office Washington, DC 20515 Phone: (202) 333-4455 Fax: (202) 333-5522		http://goo.gl/maps/rqq9i
Haverhill Office	Serving Haverhill County 1234 East. Courthouse Haverhill, CA 35602 Phone: (202) 333-4455 Fax: (202) 333-5522		http://goo.gl/maps/BCEEO
South Office	10 Welcome Street Tuesdays & Thursdays 9:00 AM- 11:00 AM		http://goo.gl/maps/lodfk