Birthday Citation Request My office accepts citation requests at all times, but please allow three to four weeks prior to an event for a request to be processed. If a citation is needed in two weeks or less, please give my office a call to ensure appropriate arrangements are made. While we do try our best, we cannot guarantee a citation will be available by a certain date. For any questions, please contact my office at 717-749-7384. General Information Full Name of Person to be Cited * Address Line 1 * Address Line 2 Leaving this box checked verifies that you would like to receive legislative email updates. City * State * PA AA AE AK AL AP AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Zip Code * Phone Number (with Area Code) * Would like Rep. Schemel to present this citation * In PersonIn Private Preferred Date * Preferred Time * Preferred Location * Notes Birthday Informaiton Individual's Full Name * Title (i.e. Mr., Mrs., Miss, Ms.) * Date of Birth * Location of Birth Number of Children Names of Children Number of Grandchildren Names of Grandchildren Number of Great-Grandchildren Names of Great-Grandchildren Community Service or Other Notable Achievements Contact Information Name of Applicant * Applicant's Phone Number * Applicant's Email Address * Leaving this box checked verifies that you would like to receive legislative email updates. Applicant's Street Address * Applicant's City * Applicant's State * PA AA AE AK AL AP AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PR PW RI SC SD TN TX UT VA VI VT WA WI WV WY Applicant's Zip Code * Additional Notes Please forward any other appropriate information to jpeters@pahousegop.com. Clear All Text Submit