Retirement Citation Retirement Citation Request Form Honoree's Full Name* Honoree's Address* City* State* Zip Code* Place of Employment* Date Employment Began* Retirement Date* Occupation* (Include brief description of jobs/titles held at final employer, if applicable)Special Achievements/HonorsDate of Retirement Celebration* Location of Celebration* Contact Person Information:Contact's Name* Contact's Address* City* State* Zip Code* Contact's Phone*Contact E-Mail Address*