Military Departing with Dignity message from the Mayor request

Use this form to have a formal letter of congratulations sent from the Esquimalt Mayor as part of the Depart With Dignity Program (DWD).

This program ensures that CF members are given appropriate recognition upon completion of their military service.

Date needed by

About the recipient

Recipient name & full rank

Address

City/Town

State/Province

ZIP/Postal Code

Recipient years of service

Requestor contact information

(this is where the letter will be sent by mail)

Contact name and rank

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Contact email address

Confirm email

Contact phone number

Brief description of recipient’s service

CAPTCHA

Personal information contained in this form is collected under Section 26 (c) of the Freedom of Information and Protection of Privacy Act and will only be used for the purpose of processing your request for a Military Departing with Dignity message from the Mayor. If you have any questions about the collection or use of your personal information, please contact the Privacy Team at foi@esquimalt.ca or 250-414-7177. 250-414-7135. More information can be found through our privacy policy.