Proclamation Requests – City of Antioch, California

Administration

Related Info

Contact Info

Email

cityclerk@antiochca.gov

Address

Antioch City Hall, Office of the City Clerk
200 “H” Street
Antioch, CA 94509

Mailing Address

The City Clerk of the City of Antioch,
P.O. Box 5007, Antioch, CA 94531-5007

Phone

(925) 779-7009

Proclamation Request Form

A Proclamation is a ceremonial document issued by the Mayor and adopted by the City Council to commemorate a specific time period (day, week, or month) for the purpose of raising awareness about local efforts.

Use the form below to submit a proclamation request (note: you must complete the form in its entirety to be considered!).
Proclamation requests must be submitted at least three weeks in advance of the Council Meeting.
Proclamations are sent to the Mayor and City Clerk’s Office for placement on the agenda.
The City Clerk’s Office will email you pending the Mayor’s decision about placement onto the City Council agenda, including logistical details.

Email questions to CityClerk@antiochca.gov

Name of requestor

Primary contact's email

Primary contact's phone number

Name of organization requesting (i.e. "self," "City Clerk's Office," or "123 Association")

Proposed name of proclamation (i.e. "Kindness Week" or "John Smith's 150th Birthday")

Please briefly describe why you are requesting this proclamation

Name the person(s) who will be accepting this proclamation at the City Council meeting

What Council Meeting are you hoping this Proclamation will be considered at? (note: regular City Council meetings are the 2nd and 4th Tuesday of the month)

Please enter the draft language below.

Please use this space to provide any additional information you think will aide in the review of this Proclamation request. If you have no additional information, please write "N/A."