Request a Commemorative Message

Mahalo for contacting the Office of the Governor with your request.

Required fields are marked with a red asterisk (*) and MUST be filled in. Please note that we will be unable to process incomplete entries.

TYPES OF COMMEMORATIVE MESSAGES

The Governor's Office offers recognition for significant events, accomplishments and milestones.
- Proclamations recognize significant events for public awareness of a specific issue affecting Hawaiʻi residents. (Note: The proclamation neither indicates nor implies the governor's support of any given issue or cause.)
- Certificates recognize outstanding achievements by Hawaiʻi residents. (We do not issue certificates for graduations or scholarships.)
- Special messages mark significant occasions and public events in Hawaiʻi, such as conventions, festivals and banquets; electronic copy also available for souvenir programs.
- Military retirement messages are provided for U.S. military personnel who were born, stationed or commissioned in Hawai‘i, or whose home of record is in Hawai‘i. Requests must be submitted by a career counselor.
GUIDELINES FOR COMMEMORATIVE MESSAGES

Due to the high volume of requests received daily, please observe the following guidelines.
1. All requests must be submitted on-line at https://governor.hawaii.gov/ at least four (4) weeks prior to the requested completion date and not more than three (3) months in advance of the event date.
2. All requests must be submitted by an individual or organization based in Hawai‘i, preferably submitted by an official representative of the local entity.
3. The Office of the Governor reserves the right to accept or decline any request, regardless of whether a similar request was accommodated in previous years. We also reserve the right to edit submitted text for length, accuracy, etc.
4. All issued commemorative messages are to be used for a single event or recognition and are not to be used for profit or commercial advertising. The text of the issued document must not be altered in any way without the consent from the Office of the Governor.
I have read and agree to the guidelines.*
- Yes

Are you requesting a military retirement message?*
- Yes
- No

Event Name*
Event Date*
Requests must be submitted at least four (4) weeks prior to the date it is needed, and not more than three (3) months in advance.
MM slash DD slash YYYY
Requested Message*
Note: Please fill in a minimum of six (6) statements.
See proclamation samples
Military retirement messages from the Office of Governor Josh Green are provided for U.S. military personnel who were stationed in Hawai‘i, born in Hawai‘i, commissioned in Hawai‘i, or whose home of record is in Hawai‘i. Request must be submitted by a career counselor.
Career Counselor Information
Career Counselor Name*
First Last
Career Counselor Phone*
Career Counselor Email Address*
Base*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Military Retiree Information
Please check applicable criteria for military retiree*
- Stationed in Hawai‘i during career
- Home of record listed as Hawai‘i
- Born in Hawai‘i
- Commissioned in Hawai‘i
Retiree Name*
First Last
Rank*
Branch*
Years of service*
Retirement date*
MM slash DD slash YYYY
Ceremony date, if applicable
MM slash DD slash YYYY
Your Name*
First Last
Title
Organization*
If you represent an organization, please include it here.
Organization Website
Your Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Your Phone*
Alternate Phone
Your Email Address*
Requested Completion Date*
MM slash DD slash YYYY
Delivery method*
For more information about pick-up locations
Hidden
Additional Information
Are you inviting the governor to an event?*
- No
- Inviting Governor to an event
At this time, proclamation ceremonies are on hold until further notice. Mahalo for your understanding.
Your event request will be reviewed upon receipt; however, due to the high volume of requests, you may not receive a response to your request for 2-4 weeks.
Event Name*
Event Date*
MM slash DD slash YYYY
Event Start Time*
Time in Hawaii Standard Time

: Hours

Minutes

AM/PM
Event End Time*

: Hours

Minutes

AM/PM
Response Date
Date response is due
MM slash DD slash YYYY
Event Location*
Event Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Description and Purpose of Event*
Attire*
Sponsoring Organization Name*
If you represent an organization, please include it here.
Organization Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Organization Telephone*
Organization Website
Brief Description of Organization*
Event Coordinator Name*
or name of person completing form
First Last
Coordinator Email*
Coordinator Telephone*
Role of the Governor*
- Attend only
- Honoree
- Speaker
Please explain why the Governor is being honored*
Speaking Role*
- Welcome remarks (1-3 minutes)
- Presenter or Panelist
Is the First Lady Invited?*
- Yes
- No
Expected Audience Size*
Audience Description*
e.g., employees, students, parents, etc.
Please attach copy of memo on official letterhead with the above information.*
Attachments
Maximum file size per file: 4MB | Maximum number of files: 2
Drop files here or

Accepted file types: pdf, docx, Max. file size: 4 MB, Max. files: 2.
Please attach copy of memo on official letterhead with the above information*
Max. file size: 1,000 MB.
Requested completion date*
MM slash DD slash YYYY
Delivery method*
Click for more information about pick-up locations
Captcha
Thank you! You will receive a confirmation email to verify that your request has been successfully submitted.

Governor Josh Green, M.D.

Request a Commemorative Message

Step 1 of 3 - Terms of Agreement

TYPES OF COMMEMORATIVE MESSAGES

GUIDELINES FOR COMMEMORATIVE MESSAGES