Request for Certificates

Request for Certificates
Request for Certificate
Celebrant(s)' Name (as it will appear on the certificate
Type of Event (eg. Birthday, Anniversary, Retirement, Award, Other)
Event Date (Date of Birth, wedding or other occasion)
Celebration Date (if different than event date)
Will send certificate to



Celebrant(s)' Address
Celebrant(s)' Phone Number
Requestor's Name & Address
Requestor's Phone Number


Security Measure

Please Note:

  • Two weeks notice is needed prior to the date the certificate is required
  • All requests are subject to review
  • All certificates requests must be made in writing or submitted online using the form above.  No telephone or verbal requests will be prepared without written confirmation.  Requests in writing avoid confusion and the possibility of errors.

Forward Requests to:

  • By fax: 519-631-9970
  • By email: [email protected]
  • By mail: Mayor's Office, P.O. Box 520, City Hall, St. Thomas, ON  N5P 3V7
  • Inquiries: 519-631-1680 ext. 4196