Retirement Citation Retirement Citation Request Form Full Name of Retiree:Street Address:City:State:Zip Code:Name of Employer:Years with Employer:Career Accomplishments:Contact Person Information:Name:Contact E-Mail Address:* Street Address:City:State:Zipcode:Phone NumberPlease enter telephone number using this format (2155551212)Mail Citation to: (Check one) Retiree Contact Person * Unless otherwise noted, the citation will be sent to the retirees's home.