Request a Citation

If you, a family member, friend, or a business/organization located in the 14th Middlesex District are celebrating an anniversary, special occasion or achievement, Representative Gouveia would be honored to provide an Official Massachusetts House Citation or other congratulatory letter to mark the occasion. Please provide the information requested and allow at least five business days for processing. Additional time may be required if the document is being mailed. 

Name *
Name
Mailing Address *
Mailing Address
Name of Individual/Organization Receiving Citation
Name of Individual/Organization Receiving Citation
Citation Request By Date *
Citation Request By Date
Please provide additional information regarding the reason for the citation. Please also indicate if you would if you like the citation to be mailed or if you prefer the Representative to attend the event and present the citation personally (if so please provide the event details).