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Mayoral Certificate Request Form

Certificates are provided by the Mayor’s Office to be of service to Indianapolis residents and guests. The purpose of a certificate is to celebrate achievements and recognize individuals or organizations for their accomplishments. Certificates of recognition or congratulations are provided for significant birthdays or anniversaries, retirements, professional celebrations, and award recipients. To request a certificate, please submit the following form at least 3 weeks prior to the date of issuance. Information for any field with an asterisk(*) is required.

Questions can be directed to:
Hannah Bain
hbain@indygov.org OR 317-327-3157
Mary Grattan
mgrattan@indygov.org OR 317-327-2580

Date of Request:* Brief Summary and/or background of the event, organization or individual:* Action to be taken when the Certificate is ready for pickup:*E-mail
Mail to address below
CallDate Certificate is Needed:* Full Name (Last, First):* Street:* City:* State:* Zip Code:* Phone Number:* E-mail Address:*