Commendation Request

Commendations are provided as a courtesy by Supervisor Kuehl and are intended to recognize individuals, community organizations or businesses for their exceptional contributions to the people of Los Angeles County.

In order to be considered, your request must meet the following criteria:
- The honoree(s) is an individual, organization or business that resides in the Third District
- The Commendation recognizes a milestone or an occasion of extraordinary significance
- The honoree(s) has made a meaningful impact or contribution to the people of Los Angeles County
- No prior Commendation has been provided to the individual or organization for the same work or event within the last year
- Commendations may not be requested for yourself
To request a Commendation, please complete and submit the attached form below. All requests must be submitted at least four (4) weeks prior to the date needed.

The Supervisor’s office reserves the right to decline any commendation request and may rescind a request if false or misleading information was provided in the application.

All requests will be reviewed and responded to in a timely fashion.

Given the high volume of requests, the Supervisor’s office may not be able to accommodate your request even if the criteria outlined above are met.

If you have any questions or need further information, please contact Julio Jimenez at (213) 974-3333 or 3DSscrolls@bos.lacounty.gov.
Requester's Information
Name *
Address

Street Address

Street Address Line 2

CityState

Zip Code
Email Address*
Phone Number*

Area CodePhone Number
Organization (if applicable)
Organization Address (if applicable)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Honoree Information
If more than one Honoree/Organization, please download and complete this spreadsheet and submit below under "Supporting Documents" or email 3dsscrolls@bos.lacounty.gov.
Full name of Honoree/Organization*
Honoree/Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do they live or work in the Third District?*

YesNo
Reason for Honor (300 word max)*
Please provide a statement about the honoree/organization that demonstrates why this recognition is being given.
Title of award (If applicable. If not, type "none")*
Date to be printed on Commendation*

MonthDayYear
Date
Please upload a bio (if applicable)

Browse Files

Cancelof
URL(s) where additional information about the Honoree/Organization/Event can be found*
*if applicable
Supporting Documents*

Browse Files
*If applicable Cancelof
Method of Delivery
Please select one:

Office Pick-upMailPresentation
Event Info*

*If requesting a presentation by staff. Please note that we try to accommodate all requests for staff presentations, however, given the volume of requests received, we may not be able to staff your event.
Event Name*
Event Date*

MonthDayYear
Date
Event Time*

:HourMinutesAM/PM Option
Event Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Anything else we should know?
Submission
I understand that the due to the high volume of requests, Supervisor Kuehl’s office may not be able to accommodate my request, even if all outlined criteria are met.*

Yes
I certify that the information contained in this request is accurate and complete.*

Yes
Name and Title*
Initials*
Should be Empty:

Requester's Information

Honoree Information

Method of Delivery

Event Info*

Submission