Certificate Request | Official Website - Assemblymember Buffy Wicks Representing the 14th California Assembly District

Requestor Contact Information

Name of Requestor

Phone Number

Requestor's Job Title/Position

Name of office/organization

Purpose of Certificate

Honoree(s) Information

Name on Certificate (if multiple, please attach file below instead)

Suggested language/Awardee’s Bio (if multiple, please attach file below instead)

If multiple individuals, please upload document with names and bios

One file only.
200 MB limit.
Allowed types: gif jpg jpeg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 ogg wav bz2 dmg gz jar rar sit svg tar zip.

Date Needed By

Request a joint certificate from our office and Sen. Arreguín's office

How would you like the certificate to be presented?

Mailing Address

Presented by Asm. Wicks Office

Please provide event details in our meeting/event request form (https://scheduling.assembly.ca.gov/a14) after submitting the Certificate Request.

Address

City/Town

State/Province

ZIP/Postal Code

Connect with us

Capitol Office

State Capitol

Sacramento, CA 95814

Phone: (916) 319-2014

Fax: (916) 319-2114

District Office

1515 Clay Street

Suite 2201

Oakland, CA 94612

Phone: (510) 286-1400