Request for Canadian Armed Forces Retirement Congratulatory Certificate

Please submit request at least 6 weeks prior to presentation date.

Rank

Choose one from the following lists.

Royal Canadian Navy

Canadian Army / Royal Canadian Air Force

Name: *

Full Name. No abbreviated names.

Certificate Language *

Years of Service: * years

Must be 20 years or more.

Official Retirement Date: *

Year

Month

Day

Presentation Date: *

Year

Month

Day

Request Submitted by: *

Requestor's Telephone: *

(

Area code

)

First three digits

Last three digits

Requestor's Email: *

Certificate to be Mailed to

Attn

Role

Unit

Street / PO Box *

City *

Province *

Postal Code

First three characters

Last three characters

Leave this field blank