Request a Congratulatory Message

To request a message from the Premier in acknowledgement of a significant birthday or anniversary, fill in the form below and Danny will pass it on to the Department of Premier and Cabinet on your behalf.

Type of verification provided*
- Birth Certificate
- Marriage Certificate
- Statutory Declaration
Please attach your verification document below.
Type of congratulatory message*
- Birthday - 90 years
- Birthday - 100 years
- Wedding Anniversary - 50 years
- Wedding Anniversary - 60 years
- Wedding Anniversary - 65 years
- Wedding Anniversary - 70 years
Nominee(s) title*
Nominee is the person or people celebrating the event.
Nominee(s) Name(s)*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Address to which message is to be sent
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

(if different to the above)
Requestor Name*
First Last
Requestor phone
Requestor Email*
Upload verification document(s)*
Drop files here or

Accepted file types: jpg, jpeg, png, pdf, doc, docx.
Select your verification document and upload it here.