Citation Request

Thank you for using our online form to request a citation or greeting

The Lieutenant Governor's Office handles as many requests as possible, but due to the high volume of requests, priority is given to requests from state residents and organizations. At her discretion, Lt. Governor Bysiewicz will issue citations for noteworthy state or local events that deserve special recognition. These public service documents are a courtesy to the requester, are strictly honorary and are not legally binding. All requests will be reviewed on a case-by-case basis. The Lt. Governor reserves the right to decline any request or to make exception to those guidelines.

You will be contacted when your citation or greeting is approved and ready for pick up.

Due to the volume of requests received, your request must be submitted at least four weeks prior, but no more than 2 months prior, to the due date.

Fields marked with an asterisk (*) are required fields

Name Prefix Requestor First Name * Please add your first name. Requestor Last Name * Please add your last name. Name Suffix Home Phone Number * Please add a valid home phone number. Business Phone Number Please add a valid phone number [ 000-000-0000 ]. Cell Phone Number Please add a valid phone number [ 000-000-0000 ]. Email Address * Please add a valid email address. Address Information: Street Address: * Please add your street address. City * Please add your city.

Start typing and you can select a city from the dropdown.

State * Please add the state. Zip Code * A valid Zip Code is required. Agency/Organization Name (if applicable) Proclamation Type * Please select the proclamation type. Honoree (individual, group, company or organization) * Please add the honoree's name. Event Name (if applicable) Date of Event (if applicable) Date Required (date by which proclamation must be received) * Please enter the date you need the proclamation by.

At least 4 weeks from request date and no more than 90 days from request date.

Proclamation Language or Greeting (1000 characters max) * Please add the language of the proclamation.

Attachments:

Files must be in PDF, Microsoft Excel (.xls or .xlsx) or Microsoft Word (.doc or .docx) format.

Upload Attachment 1

Upload Attachment 2

Upload Attachment 3

Please note: Electronic mail submitted through this web-site may be considered 'Public records or files' as those terms are defined in the Connecticut Freedom of Information Act, (the 'Act'). By operation of the Act, public records and files may be the subject to disclosure to persons other than the addressee. The marking of an electronic mail message submitted through this web site as 'personal' or 'confidential' may not prevent disclosure of certain public records governed by the Act.

The citation will be held for pickup at the Lt. Governor's Office
210 Capitol Avenue
Room 304
Hartford, CT 06106

The Office of Lt. Governor Susan Bysiewicz

Citation Request

Thank You!