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Long-standing service recognition certificate

Nominate a municipal elected official for a certificate from the Minister of Municipal Affairs and Housing.

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Nomination form

Name (as it will appear on the certificate)

Nominee's service information

Title

Municipality

Service date

From

To

Add more dates

Title

Municipality

Service Date

From

To

Add more dates

Title

Municipality

Service Date

From

To

Total years of service

Nominee's biography

Please provide brief biographical information about the nominee and a summary of their major career achievements.

Nominator's information

First and last name

Title

Municipality address

Email

Business phone number

If known, when and who will present the certificate.

Updated: July 19, 2024

Published: July 11, 2024