Commemorative Recognition Requests

The City of Kalamunda recognises that individuals, families, and community groups have varying means and preferences when it comes to commemorative recognition.

To ensure accessibility and flexibility, a range of memorial options may be considered, subject to location suitability, availability, and alignment with City standards.

Types of Memorials Supported

Examples of eligible forms of commemorative recognition include:

Plaques on Existing Infrastructure
Standalone Memorials (e.g., Benches)
Engraved Pavers or Bricks
Shared Community Recognition Features
Indoor Recognition Displays

Memorials that require intensive long-term maintenance, or create safety, access, or amenity issues, will not be supported. Requests outside these examples will be assessed on a case-by-case basis, based on the City’s ability to accommodate them in a respectful and sustainable manner.

Criteria for Commemorative Recognition

To qualify, requests for commemorative items must meet the following criteria:

Significant Contribution: The individual recognised must have contributed more than ten years of service or otherwise had a substantial impact on the City of Kalamunda.
Community Impact: Contributions should pertain to key community sectors, such as sports, education, arts, or local heritage.
Unique Recognition: The proposed memorial must not duplicate existing memorials for the same subject within the City.
Eligibility of Honorees: Honorees must be deceased.

For more information, please read Service 16: Commemorative Recognition Request.

Submit a Commemorative Request

If you would like to request a copy of the hard copy form, please contact the City. Hard copy forms can be submitted via:

Email: enquiries@kalamunda.wa.gov.au
Post: PO Box 42, Kalamunda WA 6926
In person: City Administration, 2 Railway Road, Kalamunda WA 6076

Alternatively, you can use the online form below.

Online Form

This form is used to request commemorative recognition under the City of Kalamunda’s Commemorative Recognition Policy. Please complete all sections and submit the form along with any required supporting documentation.

Applicant Information:

Name of Applicant:

Address:

Phone:

Email:

Individual to be Recognised:

Name of Individual:

Date of Birth:

Date of Passing:

Summary of Contributions to the City of Kalamunda:

Type of Commemorative Recognition:

Select the type of commemorative recognition being requested: Plaque on Existing Infrastructure Standalone Memorials (new park bench with commemorative plaque) Engraved Pavers or Bricks Shared Community Recognition Features Indoor Recognition Displays

Proposed Location:

Supporting Documentation:

The following documents must be attached to your application: A written biography or summary of the individual’s contributions. Any supporting materials (e.g., letters of support, historical records, or photographs).

Attached a written biography or summary of the individual’s contributions

Attached any supporting materials (e.g., letters of support, historical records, or photographs)

Add another

Applicant Declaration:

I, the undersigned, acknowledge that: The information provided in this application is true and accurate to the best of my knowledge. I have reviewed the City of Kalamunda’s Commemorative Recognition Policy and agree to its terms. I understand that all costs, including installation and annual maintenance fees, are my responsibility. I agree that the memorial may be decommissioned after 20 years.

We respectfully acknowledge the Traditional Owners, the Whadjuk Noongar People as the Custodians of this land. We also pay respect to all Aboriginal community Elders, past, present and future who have and continue to reside in the area and have been an integral part of the history of this region.