Get the free Centenarian Proclamation Request Form (PDF) - Nevada Aging and ...

AGING AND DISABILITY SERVICES DIVISION SILVER STATE CENTENARIAN BIOGRAPHY Date of Birth: Name of Centenarian: Physical Address: Street City Place of Birth: State ZIP Phone Number: City State Number

How to fill out centenarian proclamation request form

How to fill out centenarian proclamation request form:

1. Obtain the centenarian proclamation request form from the relevant authority or organization. This form can usually be found online or requested through mail.
2. Fill out the personal information section of the form, which typically includes the centenarian's full name, date of birth, address, and contact information.
3. Provide any supporting documents that may be required, such as a copy of the centenarian's birth certificate or identification.
4. Include a brief description highlighting the centenarian's accomplishments or notable achievements, which will be used to create the proclamation.
5. If requested, include a photograph of the centenarian to accompany the proclamation.
6. Review the completed form for accuracy and make any necessary corrections.
7. Sign and date the form in the designated section.
8. Submit the filled-out centenarian proclamation request form to the appropriate authority or organization, following their specified submission instructions.

Who needs the centenarian proclamation request form:

1. Individuals who are celebrating their 100th birthday and would like to request a centenarian proclamation from their local government or community organizations.
2. Family members or friends of centenarians who wish to honor their loved one's milestone by requesting a centenarian proclamation on their behalf.
3. Social clubs, retirement homes, or organizations that want to recognize their members who have reached the age of 100.

Please note that the specific requirements and process for filling out the centenarian proclamation request form may vary depending on the jurisdiction or organization involved. It is advisable to consult the appropriate authority or visit their website for accurate and up-to-date information.

For pdfFiller’s FAQs

What is centenarian proclamation request form?

Centenarian proclamation request form is a document that individuals can use to request a proclamation honoring a centenarian, someone who is 100 years old or older.

Who is required to file centenarian proclamation request form?

Anyone who wants to request a proclamation honoring a centenarian can file the centenarian proclamation request form.

How to fill out centenarian proclamation request form?

To fill out the centenarian proclamation request form, you need to provide the necessary information about the centenarian, such as their name, age, contact information, and any special details or achievements that you would like to include in the proclamation.

What is the purpose of centenarian proclamation request form?

The purpose of the centenarian proclamation request form is to allow individuals to request a proclamation honoring a centenarian and to provide the necessary information for the proclamation.

What information must be reported on centenarian proclamation request form?

The centenarian proclamation request form typically requires information such as the centenarian's name, age, contact information, and any special details or achievements that should be included in the proclamation.

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