Nassau County, NY

Nassau County, NY

Office of the Nassau County Comptroller

Recognition Requests

Requestor Information:

All requests must be made with at least three weeks’ notice for all recognition requests. All requests are subject to approval.

First Name:

MI:

Last Name:

Address 1:

Address 2:

City:

State:

Zip:

Email Address:

Phone Number:

Date Needed By:

Event Information:

Name Of Event:

Date Of Event:

Please Describe The Purpose Of The Event

Request for Presentation? Yes No

If Yes, Please Provide Time Window:

Honoree Information:

First Name:

MI:

Last Name:

Company or Organization:

Address 1:

Address 2:

City:

State:

Zip:

Briefly Describe The Achievement(s) In One of The Following Categories (Check All That Apply)

Academic, Artistic and/or Athletic Accomplishments

Completion of a Project that Spurs Economic Development or Growth

Excellence in Community or Civic Service

Innovation in Community/Business

Please upload or attach supporting documents (i.e. Honoree Bio, Program, etc...)

Only Doc, Docx and PDF formats that are 5MB or less in size.

File 1: File 2: