Proclamation Request Form

Complete this request form to obtain a proclamation. For questions call 316-268-4331 or email NRamos@wichita.gov.

Your Name*

Enter the first and last name of the person requesting the proclamation.

Phone Number*

Enter the phone number of the person requesting the proclamation.

Email Address*

Enter the email address of the person requesting the proclamation.

Company or Organization Name

Enter the name of the company or organization requesting the proclamation.

Company/Organization Address

Enter the address of the company or organization requesting the proclamation.

Company/Organization Phone

Enter the phone number of the company or organization requesting the proclamation.

Title of Event/Occasion

Enter the event or occasion for the proclamation.

Date of Event/Occasion

Enter the date of the event or occasion for the proclamation.

Proclamation Group/Organization Name

Enter the group or organization to be named in the proclamation.

Has the proclamation been issued before?

Check the box below if the proclamation has been issued before.

If "yes", when?

If you checked the box above, enter the date the proclamation was issued?

Are you requesting an official to present?

Check the box below if you want an official to present the proclamation.

While not required, the submitting party may request co-sponsorship by a Council Member or Mayor.

Would you like a council member to sponsor this proclamation? Please note this is only a request. The council member must be available and willing to co-sponsor.

PROCLAMATION DETAILS

Enter the details of the proclamation below.

Proclamation Reason

Briefly describe the reason for the proclamation below.

File Attachments

Using the Example Proclamation, provide a draft of the requested proclamation using the format in the example. Click on the following link for a template: Proclamation Template

Drag and drop files here or

Send me a copy of my responses

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