Proclamation Request Form

Requests for proclamations are only accepted from Arkansas residents and should be requested at least thirty days prior to the date of the proclamation. Please provide the following information regarding your proclamation request. All fields are required for consideration.

Contact Name
Address
State (Must be an Arkansas Resident to submit a request)
(If statistics or data points are included, please list sources of information):
MM slash DD slash YYYY
Proclamation must be requested 30 days prior to the date of proclamation (please refer back to the proclamation guidelines at the top of the screen):
Have you requested a proclamation from our office before?
(add limit of 2 proclamation requests per year)
MM slash DD slash YYYY
How would you like to obtain your proclamation?

Your request will go through an approval process, and the Governor has the discretion to decline or approve any proclamation.


IMPORTANT: By submitting this proclamation request, you agree to the terms on the Governor's Proclamation Guidelines page. Once you submit your request, a confirmation page will appear and you will receive a confirmation e-mail at the address on the form. If you do not receive a confirmation email please contact us at: 501-682-3613 for assistance.
Electronic Agreement