Request a Certificate

MPP Monica Ciriello offers congratulatory certificates for residents in Hamilton celebrating a significant anniversary, birthday or other special occasion.

To request a certificate, please complete and submit the form below.

Request Your Certificate

First Name

Last Name

Street Address

Postal Code

Telephone

Type

Preferred Pick Up Date

Preferred Pick Up Time

Name of Person/Organization

Purpose of Certificate

Additional information

The personal information you provide is governed by the Freedom of Information and Protection of Privacy Act, and will be used to contact you regarding your feedback and to keep you informed from time to time on activities affecting residents in Hamilton.

If you have any questions or concerns regarding the collection and retention of personal information, please contact us at (905) 388-1515 or come and visit us at 1030 Upper James, Unit 400, Hamilton, ON L9C 6X6.