Required fields are marked with asterisks (*)

Proclamation Request Form

Part 1: Organization Details

Organization Name

Organization Website

Organization Type

Part 2: Requestor Details

Full Name

Address (including Street address, City, Province, & Postal Code)

Phone

Part 3: Proclamation Details

Cause / Event commemoration to be proclaimed

Details of your organization's connections to Oxford County

Commemoration Period

Day

Week

Month

Certificate Preference

Electronic

During Council Meeting

Individuals receiving the proclamation certificate at Council Meeting

If attending an in-person council meeting , do you or any members of your party require accessibility accommodations?

Yes

Please contact the Clerk’s Office at 519-539-9800 or email the Clerk’s Office (clerksoffice@oxfordcounty.ca) if you have any questions or concerns. Personal information on this form is collected under the authority of the Municipal Freedom of Information and Protection of Privacy Act, as amended. Questions about the collection of personal information should be directed to the Clerk’s Office, County of Oxford.