Certificate of Recognition Request Form

Certificate of Recognition Request

The City of Weyburn is pleased to provide residents with a message of congratulations when celebrating a special occasion! Congratulatory certificates are available for a Wedding anniversary (25 years and up, at 5 year intervals), a Birthday (65 years and up, at 5 year intervals), and a Retirement. Please complete our online certificate request form to request a certificate in honour od these milestones. Your request must be submitted at least two (2) weeks prior to your event.

Type of Occasion*
- Milestone Birthday
- Milestone Wedding Anniversary
- Retirement
If Retirement, please add workplace*
Date of Achieved Milestone*
MM slash DD slash YYYY
Name(s) of Recipient(s)*
Recipient Address
Street Address City Province Postal Code
Number of years celebrating*
Delivery Options*
- Pick it up at City Hall
- Please mail to the Recipient
- Please mail to the Requester
Requester Name*
Requester Address
Street Address City Province Postal Code
Requester Email
Requester Phone Number*

78161

Certificate of Recognition Request

Municipal Election November 13