Congressional Commendation Request Form | U.S. Representative James Walkinshaw

If you’d like to request a Congressional Commendation for someone living in Virginia’s 11th Congressional District, please complete and submit the form below.

Below, you’ll find a list of available commendations. When filling out the form, be sure to select the appropriate type of request in the field near the end.

Available Congressional Commendations include:

Appointment to public office
Election to public office
Awards or honors
Citizenship
Eagle Scout
Gold Star
Graduation
Heroism
Military academy appointment
Other achievements of public distinction

Your Information

Prefix

First Name*

Last Name*

Suffix

Contact Phone Number* () -

Email Address*

Your Address*

Street 1 Street 2 City State Zip

Honoree Information

Honoree's Prefix

First Name of Honoree*

Last Name of Honoree*

Honoree's Suffix

Honoree's Address*

Street 1 Street 2 City State Zip

Recognition Type*

Organization

Exact Date of Occasion*

Please provide other necessary information

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